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Individual

DR. KAYA RAE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1000
Mailing address
901 N PORTER AVE, NORMAN, OK 73071-6482
(405) 307-1000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6768
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0267R
OKLAHOMA OSTEOPATHIC RESIDENT TRAINING LICENSE (PGYI)
OK
Enumeration date
07/02/2018
Last updated
01/27/2022
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