Individual
KENNY KIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10412 AMY WAY, OKLAHOMA CITY, OK 73162-6918
(405) 209-6225
Mailing address
10412 AMY WAY, OKLAHOMA CITY, OK 73162-6918
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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