Individual
KACI BROOKE JUENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3301 NW 50TH ST STE 100, OKLAHOMA CITY, OK 73112-5708
(405) 947-0911
(405) 947-1341
Mailing address
3301 NW 50TH ST STE 100, OKLAHOMA CITY, OK 73112-5708
(405) 947-0911
(405) 947-1341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2985
OK
Other
Enumeration date
02/25/2019
Last updated
03/02/2023
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