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PK XRAY INC NPI 1508998808


NPI Information

NPI: 1508998808
Provider Name: PK XRAY INC
Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
347 S 37TH ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 683-9729
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PK XRAY INC is a radiologic technologist in Muskogee, OK. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. PK XRAY INC NPI is 1508998808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

347 S 37TH ST
MUSKOGEE, OK
ZIP 74401-906
Phone: (918) 683-9729
Fax: (918) 683-1012

The provider's authorized official is Phillip Lee Kizzia .
The authorized official title is President and has the following contact phone number (918) 683-9729.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 7/18/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247100000XRadiologic Technologist701503OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1165224710MEDICAIDARKANSAS
21508998808MEDICARE PINOKLAHOMA
319823MEDICARE PINARKANSAS
4P00171023MEDICARE PINOKLAHOMA
5200038030BMEDICAIDOKLAHOMA

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

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