Individual
KYLE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57523 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1143
(405) 567-3202
Mailing address
57523 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1143
(405) 567-3202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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