Individual
DR. KYLE L STATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
65 TIMBER CREEK DR, SHAWNEE, OK 74804-1148
(405) 613-2918
(405) 275-3210
Mailing address
65 TIMBER CREEK DR, SHAWNEE, OK 74804-1148
(405) 613-2918
(405) 275-3210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4073
OK
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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