Individual
DR. KENNETH EUGENE HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 RENAISSANCE BLVD, SUITE 150, EDMOND, OK 73013-3041
(405) 285-6901
(405) 285-6902
Mailing address
1705 RENAISSANCE BLVD, SUITE 150, EDMOND, OK 73013-3041
(405) 285-6901
(405) 285-6902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11552
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082870A
—
OK
Enumeration date
05/05/2006
Last updated
07/17/2012
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