Organization
KENNETH R. HILL, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNENTH R. HILL O.D. (OWNER)
(918) 446-3171
Entity
Organization
Contact information
Practice address
316 W 71ST ST, TULSA, OK 74132-2008
(918) 446-3171
Mailing address
316 W 71ST ST, TULSA, OK 74132
(918) 446-3171
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
830
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764260
—
OK
Enumeration date
02/27/2007
Last updated
07/29/2008
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