Individual
KURT E KALIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
3954 N. KICKAPOO AVE, SHAWNEE, OK 74804
(405) 273-6203
Mailing address
3954 N. KICKAPOO AVE, SHAWNEE, OK 74804
(405) 273-6203
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
139
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100659350A
—
OK
Enumeration date
08/16/2005
Last updated
03/15/2016
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