KENNETH EDWIN RANDALL

TULSA, OK
NPI1417092057
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  1372)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- KENNETH EDWIN RANDALL PT
1111 S SAINT LOUIS AVE
TULSA, OK 74120-5440
Phone number: 918-619-4600
Mailing Address
-- KENNETH EDWIN RANDALL PT
4502 E 41ST ST STE 2J30
TULSA, OK 74135-2553
Phone number: 918-660-3276
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