Individual
RYAN KEDNALL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 371-5632
Mailing address
4105 DEVON DR, EDMOND, OK 73034-7331
(405) 371-5632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
797
OK
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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