Individual
DR. KEN COY RODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1010 N PENNSYLVANIA AVE, STE A, OKLAHOMA CITY, OK 73107-6412
(405) 236-2020
(405) 236-2020
Mailing address
1010 N PENNSYLVANIA AVE, STE A, OKLAHOMA CITY, OK 73107-6412
(405) 236-2020
(405) 236-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK1140
OK
Other
Enumeration date
01/22/2007
Last updated
11/07/2014
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