Individual
MR. KYLE N LIPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 S GRAND, CRESCENT, OK 73028-9118
(405) 969-2818
(405) 969-2821
Mailing address
400 S GRAND, CRESCENT, OK 73028-9118
(405) 969-2818
(405) 696-2821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1667
OK
Other
Enumeration date
09/20/2007
Last updated
01/25/2016
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