Doctor Name: | DR. KATHRYN ANNETTE WINICK |
NPI Number: | 1689794653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 27901 |
Business Practice Address: | 9031 Sw 29th St Oklahoma City, OK - 731792818 |
Business Phone Number: | 4055126950 |
Business Fax Number: | |
Mailing Address: | 9031 Sw 29th St, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731792818 |
Phone Number: | 4055126950 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27901 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |