Individual
KEVIN L JOLLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 SW 80TH ST STE 101, OKLAHOMA CITY, OK 73139-8123
(405) 601-5169
(405) 601-9095
Mailing address
2525 NW EXPRESSWAY STE 610, OKLAHOMA CITY, OK 73112-7251
(405) 286-9465
(405) 286-9462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23996
OK
Other
Enumeration date
02/07/2007
Last updated
04/08/2021
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