MEDICARE: DAVID L KYGER 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
1	207R00000X	Internal Medicine Physician	9223	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110236658	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	730929415001	OTHER	OK	BCBS OF OKLAHOMA

General Provider Information

NPI Number	:	1730126210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L KYGER M.D.

Provider Business Mailing Address
First Line	:	3332 W OKMULGEE ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-5069
Country	:	US
Telephone Number	:	918-682-2481
Fax Number	:	918-682-2932

Provider Business Practice Location Address
First Line	:	3332 W OKMULGEE ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-5069
Country	:	US
Telephone Number	:	918-682-2481
Fax Number	:	918-682-2932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	11/07/2013

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Directions to “ DAVID L KYGER M.D.” Practice Location

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