Individual
LARRY KENNETH SILKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
901 SW GOODYEAR BLVD, LAWTON, OK 73505-9755
(580) 510-6361
(580) 531-5779
Mailing address
40 BURTON HILLS BLVD, SUITE 200, NASHVILLE, TN 37215-6155
(615) 565-1733
(615) 296-0151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1116
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200207830A
—
OK
Enumeration date
11/21/2006
Last updated
03/24/2011
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