Hargrove, Kevin Wayne

Hargrove, Kevin Wayne is an individual health care provider with primary practice located at 101 S Saints Blvd Ste 101 , Edmond OK 73034-3082. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hargrove, Kevin Wayne can be contacted via phone (405) 513-8326.

Contact Information

Primary practice address
101 S Saints Blvd Ste 101 Edmond OK 73034-3082
Phone: (405) 513-8326
Fax: (405) 513-7739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 16493 Oklahoma

Profile Details

NPI number 1538158985
LBN Legal business name Hargrove, Kevin Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 13th, 2019 - about 5 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 1538158985 NPPES
Oklahoma MEDICAID 100101900A

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