Doctor Name: | LAUREN BINDER KUYKENDALL |
NPI Number: | 1013967694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 817 |
Business Practice Address: | 4200 Carriage Way Weatherford, OK - 730969614 |
Business Phone Number: | 5807742214 |
Business Fax Number: | |
Mailing Address: | 4200 Carriage Way, WEATHERFORD |
State: | OK |
Postal Code: | 730969614 |
Phone Number: | 5807742214 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |