BRYAN KIENTZ

BROKEN ARROW, OK
NPI1912381526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OK  62244)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OK  62244)
Enumeration Date2015-07-13
Last Update Date2015-07-13
Business Address
-- BRYAN KIENTZ
7651 S 305TH EAST AVE
BROKEN ARROW, OK 74014-6020
Phone number: 918-810-5351
Mailing Address
-- BRYAN KIENTZ
7651 S 305TH EAST AVE
BROKEN ARROW, OK 74014-6020
Phone number: 918-810-5351