Organization
THE MOVEMENT DISORDER CLINIC OF OKLAHOMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J KLOS M.D. (OWNER)
(918) 392-4530
Entity
Organization
Contact information
Practice address
7302 S YALE AVE, TULSA, OK 74136
(918) 392-4530
(918) 392-4535
Mailing address
7302 S YALE AVE, TULSA, OK 74136
(918) 392-4530
(918) 392-4535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24389
OK
Other
Enumeration date
04/24/2008
Last updated
09/29/2010
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