Individual
KENDON KELLY KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5240 N TOWNE CENTRE DR STE 201, OZARK, MO 65721-9075
(417) 581-0000
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7152
OK
1223G0001X
General Practice Dentistry
Primary
2021012610
MO
Other
Enumeration date
05/10/2019
Last updated
03/13/2024
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