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:
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Health care specialties

SpecialtyCodeLicense #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 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427021450 NPPES
Oklahoma MEDICAID 100063060A

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