Individual
DR. KENNETH JAMES MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3334 E 32ND PL, TULSA, OK 74135-4415
(918) 622-6244
(918) 622-9126
Mailing address
3334 E 32ND PL, TULSA, OK 74135-4415
(918) 622-6244
(918) 622-9126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2074
OK
Other
Enumeration date
10/20/2006
Last updated
10/21/2021
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