Individual
MR. JEFFREY LYNN MCKIBBIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 N UNIVERSITY DR, BOX 189, WANTLAND HALL, EDMOND, OK 73034-5207
(405) 974-2959
(405) 974-5310
Mailing address
100 N UNIVERSITY DR, BOX 189, WANTLAND HALL, EDMOND, OK 73034-5207
(405) 974-2959
(405) 974-5310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT23
OK
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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