Individual
KADE AARON CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5739 E 65TH ST, TULSA, OK 74136-2721
(918) 990-1014
Mailing address
5739 E 65TH ST, TULSA, OK 74136-2721
(918) 990-1014
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
R081017333
OK
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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