Individual
JEFFREY R KRAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4045 NW 64TH ST, SUITE 520, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911
Mailing address
4045 NW 64TH ST, 520, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
859
OK
Other
Enumeration date
10/17/2006
Last updated
07/16/2007
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