| Kimberly K Hanigar | |
|
704 S 8th Street Mcloud OK 74851-0530 | |
| (405) 964-6463 | |
| (405) 964-2412 |
| Full Name | Kimberly K Hanigar |
|---|---|
| Speciality | Family Medicine |
| Location | 704 S 8th Street, Mcloud, Oklahoma |
| Authorized Official Name and Position | Kimberly K Hanigar (OWNER) |
| Authorized Official Contact | 4059646463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly K Hanigar Po Box 530 704 S 8th Street Mcloud OK 74851-0530 Ph: (405) 964-6463 | Kimberly K Hanigar 704 S 8th Street Mcloud OK 74851-0530 Ph: (405) 964-6463 |
| NPI Number | 1013072644 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013072644 | NPI | - | NPPES |
| 100126130C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |