Individual
KEVIN O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-4577
(405) 604-4578
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 604-4577
(405) 604-4578
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4544
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528200A
—
OK
Enumeration date
03/16/2007
Last updated
01/26/2021
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