Individual
DR. RUSSELL KYLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2403 W MAIN ST, HENRYETTA, OK 74437-3893
(918) 526-4463
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6371
OK
Other
Enumeration date
06/27/2017
Last updated
09/14/2020
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