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Individual

KEVIN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT2276

Contact information

Practice address
701 CEDAR LAKE BLVD STE 120, OKLAHOMA CITY, OK 73114-7815
(405) 286-1170
(405) 286-1145
Mailing address
701 CEDAR LAKE BLVD STE 120, OKLAHOMA CITY, OK 73114-7815
(405) 286-1170
(405) 286-1145

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2276
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175643400
US DEPARTMENT OF LABOR
OK
Enumeration date
10/23/2006
Last updated
12/13/2025
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