Individual
DR. KENNETH KEITH SHANKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2406 E SHAWNEE RD, SUITE D, MUSKOGEE, OK 74403-1597
(918) 682-5518
(918) 683-0410
Mailing address
2406 E SHAWNEE RD, SUITE D, MUSKOGEE, OK 74403-1597
(918) 682-5518
(918) 683-0410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5961
OK
Other
Enumeration date
06/13/2007
Last updated
12/04/2018
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