Kenneth M Egan, MD is a
Pediatrics physician based in Clinton, Oklahoma. Kenneth M Egan is licensed to practice in Ohio (license number 35050525E) and his current practice location is Rr 1 Box 3060, Clinton, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 323-2884.
NPI number for Kenneth M Egan is 1275698862 and his current mailing address is 215 S 28th St, Apt # B-3, Clinton, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275698862.
Physician's Profile
| Full Name | Kenneth M Egan |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | Rr 1 Box 3060, Clinton, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275698862
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Kenneth M Egan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275698862 | NPI | - | NPPES |
| 9135050 | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35050525E (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth M Egan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth M Egan, MD
215 S 28th St, Apt # B-3,
Clinton, OK 73601-3609
Ph: (580) 323-2884 | Kenneth M Egan, MD
Rr 1 Box 3060,
Clinton, OK 73601-9303
Ph: (580) 323-2884 |
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