Individual
KENNETH R TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1006 W 23RD ST, TULSA, OK 74107-2820
(918) 742-4881
(918) 742-5854
Mailing address
1006 W 23RD ST, TULSA, OK 74107-2820
(918) 742-4881
(918) 742-5854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2120
OK
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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