Individual
KYLAN DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 604-5217
Mailing address
1215 NW 13TH ST, OKLAHOMA CITY, OK 73106-4637
(918) 440-5033
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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