Organization
ALIGN OKLAHOMA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE DEAN BROTHERTON D.C. (PRESIDENT)
(405) 834-5431
Entity
Organization
Contact information
Practice address
1514 SW 119TH ST, OKLAHOMA CITY, OK 73170-4930
(405) 602-8925
(405) 304-3021
Mailing address
1514 SW 119TH ST, OKLAHOMA CITY, OK 73170-4930
(405) 602-8925
(405) 304-3021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201047570A
—
OK
01
—
4163
OKLAHOMA BOARD OFCHIROPRACTIC
OK
Enumeration date
05/10/2016
Last updated
03/23/2023
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