| Kenneth R Trinidad, D.o., P.c. | |
|
1006 W 23rd St Tulsa OK 74107-2820 | |
| (918) 742-4881 | |
| Not Available |
| Full Name | Kenneth R Trinidad, D.o., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1006 W 23rd St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kenneth R Trinidad (PRESIDENT) |
| Authorized Official Contact | 9187424881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Trinidad, D.o., P.c. 1006 W 23rd St Tulsa OK 74107-2820 Ph: (918) 742-4881 | Kenneth R Trinidad, D.o., P.c. 1006 W 23rd St Tulsa OK 74107-2820 Ph: (918) 742-4881 |
| NPI Number | 1982701199 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982701199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 207R00000X (Oklahoma) | Primary |
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