Darvin, Kenneth Ted
Darvin, Kenneth Ted is an individual health care provider with primary practice located at 1102 W Macarthur St , Shawnee OK 74804-1743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Darvin, Kenneth Ted can be contacted via phone (405) 878-8110.Contact Information
Primary practice address
1102 W Macarthur St
Shawnee OK 74804-1743
Phone: (405) 878-8110
Fax: (405) 878-8101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20274 | Oklahoma |
Profile Details
NPI number | 1427021450 |
---|---|
LBN Legal business name | Darvin, Kenneth Ted |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Oct 20th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427021450 | NPPES |
Oklahoma | MEDICAID | 100063060A |
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