Individual
KYLER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2201 SILVER LAKE RD, BARTLESVILLE, OK 74006-6233
(620) 205-8888
Mailing address
1026 N 4TH, INDEPENDENCE, KS 67301
(620) 205-8888
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
900
OK
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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