Penwell, Kevin M

Penwell, Kevin M is an individual health care provider with primary practice located at 11808 S May Ave , Oklahoma City OK 73170-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Penwell, Kevin M can be contacted via phone (405) 735-2370.

Contact Information

Primary practice address
11808 S May Ave Oklahoma City OK 73170-2560
Phone: (405) 735-2370
Fax: (405) 735-2369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 3873 Oklahoma

Profile Details

NPI number 1841286333
LBN Legal business name Penwell, Kevin M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Feb 16th, 2015 - about 9 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 1841286333 NPPES
Oklahoma MEDICAID 100113200D

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