Kenneth M. Egan, M.D.

Pediatrics Physician · Clinton, OK

Individual Active NPI

NPI number 1275698862

Practice location

RR 1 Box 3060
Clinton, OK 73601-9303
Phone
(580) 323-2884
Fax
(580) 323-2579

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NPI record

NPI
1275698862
Entity type
Individual (Type 1)
Enumeration date
December 26, 2006
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 35050525E OH

Mailing address

215 S 28TH St
Apt # B-3
Clinton, OK 73601-3609
Phone
(580) 323-2884
Fax
(580) 323-2579

About Dr. Egan

Kenneth M. Egan, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is RR 1 Box 3060, Clinton, OK 73601-9303. The NPI number 1275698862 was assigned on December 26, 2006 and the record was last updated on July 9, 2007.

Dr. Egan lists a license in the registry: #35050525E (OH) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth M. Egan, M.D.?

The NPI number is 1275698862.

What is the phone number of Dr. Egan?

The phone number listed for the practice location is (580) 323-2884.

Where is Dr. Egan located?

RR 1 Box 3060, Clinton, OK 73601-9303.

What is the taxonomy code for Dr. Egan?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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