Individual
KANON KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2475 BOARDWALK, NORMAN, OK 73069-6384
(405) 447-1991
Mailing address
1311 CREEKSIDE DR APT 2301, NORMAN, OK 73071-1937
(405) 535-9151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3504
OK
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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