Agee, Carson Kendall

Agee, Carson Kendall is an individual health care provider with primary practice located at 5401 N Portland Ave Ste 540 , Oklahoma City OK 73112-2092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Agee, Carson Kendall can be contacted via phone (405) 604-4224.

Contact Information

Primary practice address
5401 N Portland Ave Ste 540 Oklahoma City OK 73112-2092
Phone: (405) 604-4224
Fax: (405) 702-4734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 048474 Georgia

Profile Details

NPI number 1942203575
LBN Legal business name Agee, Carson Kendall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Sep 24th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942203575 NPPES
Georgia MEDICAID 00866555A

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