Organization
KENNETH R TRINIDAD, D.O., P.C.
Active
Organization
KENNETH R TRINIDAD, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R TRINIDAD D.O. (PRESIDENT)
(918) 742-4881
Entity
Organization
Contact information
Practice address
1006 W 23RD ST, TULSA, OK 74107-2820
(918) 742-4881
Mailing address
1006 W 23RD ST, TULSA, OK 74107-2820
(918) 742-4881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
OK
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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