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General NPI Number Information
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NPI Number | 1851685747
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Entity Type | Individual
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Provider Name | KYLE V MCGIVERN DO
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Gender | Male
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 3130 SW 89TH ST STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7909
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Country | US
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Telephone | 972-846-0837
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Fax | 214-764-3113
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Provider Business Mailing Address
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Address Line | 3705 NW 63RD ST STE 201
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1937
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Country | US
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Telephone | 405-297-4968
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Fax | 972-848-5269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5293
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 5293
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License Number State | OK
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