Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 3663 | OK |
Y | 213ES0000X | Sports Medicine | 3663 | OK |
NPI | 1073594651 |
---|---|
Provider Name | Kevin F Dunn |
First Address | Oklahoma City, OK 73120-6329 |
Second Address | Oklahoma City, OK 73120-6329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 08/07/2007 |