Healthcare Provider Details

I. General information

NPI: 1689471625
Provider Name (Legal Business Name): MICHAEL KENWERD LOYD HADF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 SE WASHINGTON BLVD STE 101
BARTLESVILLE OK
74006-7100
US

IV. Provider business mailing address

580 HOWARD AVE
SOMERSET NJ
08873-1113
US

V. Phone/Fax

Practice location:
  • Phone: 918-977-3708
  • Fax: 918-331-0928
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1357
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: