| NPI | 1558704015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R GREG KUYKENDALL Manager 580-234-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OK 219) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OK 855) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-05-01 |