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Contact Information

KYLE M SCOZZAFAVA, DO
4401 S WESTERN AVE
OKLAHOMA CITY, OK73109
 Phone: 405-636-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KYLE M SCOZZAFAVA · (Male)

NPI # 1346746088
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2018
Last updated 07/21/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • OK License # 6754
Hospital affiliation(s)
  • STILLWATER MEDICAL CENTER - (Acute Care)
    1323 WEST 6TH STREET
    STILLWATER, OK 74076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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