Individual
KYNSIE GOGGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 PARKLAWN DR STE 504, MIDWEST CITY, OK 73110-4232
(558) 240-5455
Mailing address
13142 RED OAK DR, CHOCTAW, OK 73020-6246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6305
OK
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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