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Organization

CLIFFORD A. KARY, PH.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLIFFORD ARTHUR KARY PH.D. (PRESIDENT)
(580) 583-5034
Entity
Organization

Contact information

Practice address
813 SW B AVE, SUITE C, LAWTON, OK 73501-3954
(580) 583-5034
Mailing address
PO BOX 2331, LAWTON, OK 73502-2331
(580) 583-5034

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538114038
TRICARE
OK
05
200212790A
OK
Enumeration date
06/05/2013
Last updated
06/05/2013
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