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NPI Code Detail

MEDICARE: MR. KYLE D MCGRAW LPC

MEDICARE: MR. KYLE D MCGRAW LPC
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
1101Y00000XCounselor3037OK

General Provider Information

NPI Number : 1366486318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KYLE D MCGRAW LPC
Provider Business Mailing Address
First Line : 3832 N MERIDIAN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2820
Country : US
Telephone Number : 405-949-9322
Fax Number :
Provider Business Practice Location Address
First Line : 3832 N MERIDIAN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2820
Country : US
Telephone Number : 405-949-9322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/08/2007

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Directions to “ MR. KYLE D MCGRAW LPC” Practice Location

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