| Roger L Kinney Md Pc | |
|
27 N Main St Sapulpa OK 74066-3901 | |
| (918) 248-5393 | |
| (918) 248-5399 |
| Full Name | Roger L Kinney Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 27 N Main St, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Roger L Kinney (PHYSICIAN) |
| Authorized Official Contact | 9182485393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger L Kinney Md Pc 27 N Main St Sapulpa OK 74066-3901 Ph: (918) 248-5393 | Roger L Kinney Md Pc 27 N Main St Sapulpa OK 74066-3901 Ph: (918) 248-5393 |
| NPI Number | 1548449374 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548449374 | NPI | - | NPPES |
| 443402928004 | Other | OK | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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