Individual
KYLE JONBRANDON TAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 NW 6TH ST, OKLAHOMA CITY, OK 73106-7202
(405) 819-3241
(405) 609-2997
Mailing address
1021 NW 6TH ST, OKLAHOMA CITY, OK 73106-7202
(405) 819-3241
(405) 609-2997
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NONE REQUIRED
OK
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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