Individual
DR. KEVIN BRENT KOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 S MADISON ST STE 209, ENID, OK 73701-7270
(580) 548-1544
Mailing address
5300 N. INDEPENDENCE, SUITE 280, OKLAHOMA CITY, OK 73112
(580) 548-1544
(580) 548-1590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21243
OK
Other
Enumeration date
07/19/2006
Last updated
09/06/2017
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