Individual
TIMOTHY KINTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(405) 679-6621
Mailing address
4701 TEMPO DR, DEL CITY, OK 73115-4337
(405) 679-6621
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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