Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 5696 | OK |
NPI | 1356674451 |
---|---|
Provider Name | Dr. Wendy D Mcconnell |
First Address | Oklahoma City, OK 73112-5556 |
Second Address | Yukon, OK 73099-6314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2009 |
Last Update Date | 28/06/2017 |