Mccaskill, Kizzy Lanae

Mccaskill, Kizzy Lanae is an individual health care provider with primary practice located at 3400 W Tecumseh Rd Suite 203, Norman OK 73072-1811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccaskill, Kizzy Lanae can be contacted via phone (405) 307-5720.

Contact Information

Primary practice address
3400 W Tecumseh Rd Suite 203 Norman OK 73072-1811
Phone: (405) 307-5720
Fax: (405) 307-5721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1806 Oklahoma

Profile Details

NPI number 1609016708
LBN Legal business name Mccaskill, Kizzy Lanae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2009
Last updated Apr 18th, 2012 - about 13 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 1609016708 NPPES
Oklahoma MEDICAID 200259700A

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