Mikawa, Kevin Dean
Mikawa, Kevin Dean is an individual health care provider with primary practice located at 4300 W Memorial Rd , Oklahoma City OK 73120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mikawa, Kevin Dean can be contacted via phone (405) 752-3962.Contact Information
Primary practice address
4300 W Memorial Rd
Oklahoma City OK 73120
Phone: (405) 752-3962
Fax: (405) 752-3963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 22101 | Oklahoma |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 22101 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD470175 | Pennsylvania |
Profile Details
| NPI number | 1417929431 |
|---|---|
| LBN Legal business name | Mikawa, Kevin Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jun 25th, 2020 - about 4 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 | 1417929431 | NPPES |
| Oklahoma | MEDICAID | 200027210A |
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