MEDICARE: RAFP ENTERPRISES, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	122663000-101	OTHER	OK	BCBS PROVIDER ID

General Provider Information

NPI Number	:	1558398560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFP ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	12062 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6807
Country	:	US
Telephone Number	:	405-936-0030
Fax Number	:	405-936-0031

Provider Business Practice Location Address
First Line	:	12062 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6807
Country	:	US
Telephone Number	:	405-936-0030
Fax Number	:	405-936-0031

Authorized Official
Title or Position	:	OWNER
Name	:	PHILLIP LEE KARNS
Credential	:
Telephone Number	:	405-936-0030

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	08/22/2020

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Directions to “RAFP ENTERPRISES, INC ” Practice Location

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