Kersey, Landon Wade

Kersey, Landon Wade is an sole proprietor health care provider with primary practice located at 1105 Renita Way , Moore OK 73160-8710. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Kersey, Landon Wade can be contacted via phone (405) 819-1840.

Contact Information

Primary practice address
1105 Renita Way Moore OK 73160-8710
Phone: (405) 819-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 496 Oklahoma

Profile Details

NPI number 1326350380
LBN Legal business name Kersey, Landon Wade
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2010
Last updated Jul 7th, 2010 - about 16 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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