KAYLEE MADISON MCINTOSH PA-C NPI 1033988605

NPI Information

NPI: 1033988605
Provider Name: KAYLEE MADISON MCINTOSH, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5606 SW LEE BLVD STE 306
LAWTON, OK
ZIP 73505
Phone: (580) 531-4006
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Kaylee Madison Mcintosh, PA-C is a medical physician assistant in Lawton, OK. Kaylee Madison Mcintosh, PA-C NPI is 1033988605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5606 SW LEE BLVD STE 306
LAWTON, OK
ZIP 73505-618
Phone: (580) 531-4006

The NPI 1033988605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/25/2023 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5138	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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