Individual
PAUL J KANALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3433 NW 56TH ST, STE 670, OKLAHOMA CITY, OK 73112-4455
(405) 951-4345
(405) 951-4392
Mailing address
3433 NW 56TH ST, STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 951-4345
(405) 951-4392
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
10637
OK
208600000X
Surgery Physician
10637
OK
2086S0129X
Vascular Surgery Physician
10637
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
10637
OR
Other
Enumeration date
06/08/2005
Last updated
06/12/2009
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