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Organization

OKC KIDS UROLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA MCKENZIE (CLINIC MANAGER)
(405) 844-5221
Entity
Organization

Contact information

Practice address
3705 NW 63RD ST STE 211, OKLAHOMA CITY, OK 73116-1937
(405) 823-0708
Mailing address
11 E 23RD ST, EDMOND, OK 73013-4404
(405) 844-5221
(405) 340-6926

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/28/2018
Last updated
10/28/2018
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