McKenna Wayne Box
McKenna Wayne Box is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.
- Licensed in
- OK
- In the registry since
- 2020
Practice location Address checks out
14025 N Eastern Ave Apt 1816Edmond, OK 73013-5767
Phone: (405) 626-1647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (OK) |
|---|
Record details
| NPI number | 1093317596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 10, 2020 |
| Last updated in NPPES | November 10, 2020 |
| Certification date | November 10, 2020 |
| Mailing address | 14025 N Eastern Ave Apt 1816, Edmond, OK 73013-5767 |
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