Individual
LARRY KINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1510 E SHAWNEE CIR, TAHLEQUAH, OK 74464-2528
(918) 431-1945
(918) 431-1974
Mailing address
1510 E SHAWNEE CIR, TAHLEQUAH, OK 74464-2528
(918) 431-1945
(918) 431-1974
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
LO15
OK
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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