Individual
MR. SEAN KENNY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4334 NW EXPRESSWAY, SUITE 201, OKLAHOMA CITY, OK 73116-1578
(405) 921-8270
Mailing address
4334 NW EXPRESSWAY, SUITE 201, OKLAHOMA CITY, OK 73116-1578
(405) 921-8270
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1963
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221930A
—
OK
Enumeration date
12/29/2010
Last updated
12/29/2010
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