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NPI Code Detail

MEDICARE: KALEIGH KATHERINE WINTERS DO

MEDICARE: KALEIGH KATHERINE WINTERS 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
1207Q00000XFamily Medicine Physician9217OK
2207Q00000XFamily Medicine Physician74669MN
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1376284869
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEIGH KATHERINE WINTERS DO
Provider Business Mailing Address
First Line : 101 MARTIN LUTHER KING DR
Second Line :
City : MANKATO
State : MN
Zip : 56001-6460
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7501 RIVERSIDE PKWY
Second Line :
City : TULSA
State : OK
Zip : 74136-5056
Country : US
Telephone Number : 507-594-6572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 02/10/2026

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