Individual
DR. KENDALL B. MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
435 E 2ND AVE, OWASSO, OK 74055-3208
(918) 272-8054
(918) 274-8044
Mailing address
435 E 2ND AVE, OWASSO, OK 74055-3208
(918) 272-8054
(918) 274-8044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03678
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7588590
AETNA
OK
01
—
8098553
CIGNA
OK
Enumeration date
09/28/2006
Last updated
07/08/2007
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