Individual
KYLE LANE STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/17/2020
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