Individual
KEEGAN M KINNIBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 360-5100
Mailing address
2900 OAK TREE AVE APT 5102, NORMAN, OK 73072-8203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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