DR. KEVIN DEAN MIKAWA MD NPI 1417929431

NPI Information

NPI: 1417929431
Provider Name: DR. KEVIN DEAN MIKAWA, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
4300 W MEMORIAL RD
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 752-3962
Get Directions

DR. Kevin Dean Mikawa, MD is a neurology psychiatry neurology in Oklahoma City, OK. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Kevin Dean Mikawa, MD NPI is 1417929431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4300 W MEMORIAL RD
OKLAHOMA CITY, OK
ZIP 73120
Phone: (405) 752-3962
Fax: (405) 752-3963

The enumeration date for this NPI number is 2/3/2006 and was last updated on 6/25/2020.

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	2084N0400X	Psychiatry & Neurology	Neurology	22101	OKLAHOMA	No
2	208M00000X	Hospitalist		22101	OKLAHOMA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	MD470175	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200027210A	MEDICAID	OKLAHOMA

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: 4/28/2024

NPI Synchronization or Removal

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