Individual
DR. LAURA L KILKENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10021 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2927
(405) 692-9300
(405) 692-3394
Mailing address
10021 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2927
(405) 692-9300
(405) 692-3394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3584
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181360A
—
OK
01
—
P00010936
RAILROAD MEDICARE
OK
Enumeration date
02/01/2006
Last updated
07/23/2015
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