Individual
CARSON KENDALL AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 N PORTLAND AVE STE 540, OKLAHOMA CITY, OK 73112-2092
(405) 604-4224
(405) 702-4734
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 604-4224
(405) 702-4734
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
048474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00866555A
—
GA
Enumeration date
05/27/2005
Last updated
09/24/2018
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