Individual
MR. KEVIN A JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED, LPED
Contact information
Practice address
5100 N BROOKLINE AVE STE 330, OKLAHOMA CITY, OK 73112-3603
(405) 924-7306
(405) 600-7287
Mailing address
5100 N BROOKLINE AVE STE 330, OKLAHOMA CITY, OK 73112-3603
(405) 924-7306
(405) 600-7287
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
84
OK
Other
Enumeration date
10/17/2006
Last updated
04/12/2012
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