Individual
MCKENNAH NICOLE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 513-2969
Mailing address
104 S CROSSTIMBER TRL, EDMOND, OK 73034-7041
(405) 513-2969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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