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Individual

KELLY KINNEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
825 NE 10TH ST STE 3C, OKLAHOMA CITY, OK 73104-5417
(405) 271-5239
Mailing address
825 NE 10TH ST STE 3C, OKLAHOMA CITY, OK 73104-5417
(405) 271-5239

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
57623
TN
207VX0000X
Obstetrics Physician
Primary
43170
OK

Other

Enumeration date
06/02/2014
Last updated
08/15/2024
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