Provider Demographics
NPI:1861431918
Name:FIELD, KENNEY L JR (CHIROPRACTOR)
Entity type:Individual
Prefix:
First Name:KENNEY
Middle Name:L
Last Name:FIELD
Suffix:JR
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-3034
Mailing Address - Country:US
Mailing Address - Phone:405-372-4482
Mailing Address - Fax:405-372-4490
Practice Address - Street 1:615 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3034
Practice Address - Country:US
Practice Address - Phone:405-372-4482
Practice Address - Fax:405-372-4490
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor