MEDICARE: DR. ALEXANDER MICHAEL MCKITRICK DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	R3405	AZ
2	207P00000X	Emergency Medicine Physician	R3405	AZ
3	207P00000X	Emergency Medicine Physician	7659	OK

General Provider Information

NPI Number	:	1588286819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER MICHAEL MCKITRICK DO

Provider Business Mailing Address
First Line	:	401 TECUMSEH MEADOWS CT
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73069-8245
Country	:	US
Telephone Number	:	405-388-0544
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4418
Country	:	US
Telephone Number	:	405-949-3011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2020
Last Update Date	:	04/07/2026

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