Individual
DR. JERRY DEAN MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7425 E HWY 266, CLAREMORE, OK 74019
(918) 342-3314
Mailing address
7425 E HWY 266, CLAREMORE, OK 74019
(918) 342-3314
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
8847
OK
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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