Individual
ELISE KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1201 HEALTH CENTER PKWY, YUKON, OK 73099-6381
(405) 717-6800
Mailing address
1201 HEALTH CENTER PKWY, YUKON, OK 73099-6381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5506
OK
390200000X
Student in an Organized Health Care Education/Training Program
5506
OK
390200000X
Student in an Organized Health Care Education/Training Program
P8493
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
01/03/2014
Last updated
02/15/2016
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