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NPI Code Detail

MEDICARE: DR. KATHRYN ANNETTE WINICK M.D.

MEDICARE: DR. KATHRYN ANNETTE WINICK M.D.
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
1207ZP0105XClinical Pathology/Laboratory Medicine PhysicianP8326TX
2207ZP0105XClinical Pathology/Laboratory Medicine PhysicianME117824FL
3390200000XStudent in an Organized Health Care Education/Training Program
4207ZP0105XClinical Pathology/Laboratory Medicine Physician27901OK

General Provider Information

NPI Number : 1689794653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN ANNETTE WINICK M.D.
Provider Business Mailing Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number : 405-512-6950
Fax Number :
Provider Business Practice Location Address
First Line : 9031 SW 29TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73179-2818
Country : US
Telephone Number : 405-512-6950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 02/21/2022

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