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Contact Information

MARC KAGAN, PA-C
1104 6TH STREET
RYAN, OK73565
 Phone: 580-757-2451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARC KAGAN · (Male)

NPI # 1750323770
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/12/2006
Last updated 09/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA-2006-0006
  • OK License # 956
Hospital affiliation(s) Not Available
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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