Oktibbeha Urology
NPI #1174801377 in Starkville, Mississippi
Provider Information
- NPI Number
- 1174801377
- Entity Type
- Organization
- Organization Name
- Oktibbeha Urology
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jul 22, 2011
- Last Updated
- Jul 22, 2011
Practice Location
- Address
- 104 DOCTORS PARK
- City
- Starkville
- State
- Mississippi
- ZIP Code
- 39759-2570
- Phone
- (662) 324-1097
Authorized Official
- Name
- DR. KENNETH RYAN THOMAS, MD
- Title
- MEMBER
- Phone
- 16623241097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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