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Contact Information

KENT R SMALLEY, MD
3432 NW 178TH ST STE A
EDMOND, OK73012-9150
 Phone: 405-696-3773
 Fax: 405-757-6953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Pain Medicine

2084P2900X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KENT R SMALLEY · (Male)

NPI Number 1043265770
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 04/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 18860
  • OK Medicaid 100094690A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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