Individual
KYLE WILLIAM RAY VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
5350 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4520
(405) 623-9773
(405) 685-1944
Mailing address
305 S ENGLISH DR, MOORE, OK 73160-7107
(405) 496-3022
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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