Individual
BRANDON KINGREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
Mailing address
15525 PARK LAKE RD, EDMOND, OK 73013-9508
(316) 249-4943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39387
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2022
Last updated
09/29/2024
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