Individual
CHRISTIAN MICHELLE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 S MUSTANG RD, YUKON, OK 73099-6754
(405) 324-4000
Mailing address
3433 NW 56TH ST, STE 400, OKLAHOMA CITY, OK 73112-4455
(405) 951-4360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1613
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200104320A
—
OK
Enumeration date
02/15/2007
Last updated
07/14/2009
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