Individual
KENNY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4330 ADAMS RD STE 110, NORMAN, OK 73069-1007
(405) 400-1152
Mailing address
4330 ADAMS RD STE 110, NORMAN, OK 73069-1007
(405) 343-5312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5117
OK
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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