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Individual

DR. KYLE TIMOTHY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS, CSCS

Contact information

Practice address
900 E AIRPORT RD, OKMULGEE, OK 74447-9082
(918) 756-9211
Mailing address
900 E AIRPORT RD # 1118, OKMULGEE, OK 74447-9082
(918) 756-9211

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5043
OK
225100000X
Physical Therapist
2251X0800X
Orthopedic Physical Therapist
Primary
5043
OK

Other

Enumeration date
02/02/2021
Last updated
02/02/2021
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