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Organization

KUYKENDALL DERMATOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY D KUYKENDALL M.D. (PHYSICIAN/OWNER)
(405) 301-8010
Entity
Organization

Contact information

Practice address
1218 E 9TH ST, EDMOND, OK 73034-5952
(405) 301-8010
(888) 720-0860
Mailing address
1218 E 9TH ST, EDMOND, OK 73034-5952
(405) 301-8010
(888) 720-0860

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23494
OK

Other

Enumeration date
07/01/2009
Last updated
07/13/2023
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