| Kandra Dodd Aprn Pllc | |
|
511 E Choctaw Ave Mcalester OK 74501-5031 | |
| (580) 579-9947 | |
| Not Available |
| Full Name | Kandra Dodd Aprn Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 511 E Choctaw Ave, Mcalester, Oklahoma |
| Authorized Official Name and Position | Kandra Leighann Dodd (OWNER) |
| Authorized Official Contact | 5805799947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kandra Dodd Aprn Pllc 511 E Choctaw Ave Mcalester OK 74501-5031 Ph: (580) 579-9947 | Kandra Dodd Aprn Pllc 511 E Choctaw Ave Mcalester OK 74501-5031 Ph: (580) 579-9947 |
| NPI Number | 1497532600 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 7911354774 |
|---|---|
| Medicare Enrollment ID | O20231115003629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497532600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kandra L Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393778 PECOS PAC ID: 0840540498 Enrollment ID: I20190308001776 |
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