Smalley, Kent Ragan

Smalley, Kent Ragan is an individual health care provider with primary practice located at 3432 Nw 178Th St Ste A , Edmond OK 73012-9150. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Smalley, Kent Ragan can be contacted via phone (405) 696-3773.

Contact Information

Primary practice address
3432 Nw 178Th St Ste A Edmond OK 73012-9150
Phone: (405) 696-3773
Fax: (405) 757-6953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 18860 Oklahoma
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 18860 Oklahoma
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 18860 Oklahoma
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 18860 Oklahoma

Profile Details

NPI number 1043265770
LBN Legal business name Smalley, Kent Ragan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 29th, 2019 - 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 1043265770 NPPES
Oklahoma MEDICAID 100094690A

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