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Kentrell Gaddis
NPI 1841557881 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4026 Ne 19th Circle
Okc, OK 73121 - Phone
- (405) 589-9260
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma