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Contact Information

PK XRAY INC
347 S 37TH ST
MUSKOGEE, OK74401-4906
 Phone: 918-683-9729
 Fax: 918-683-1012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for PK XRAY INC · (Female)

NPI Number 1508998808
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2007
Last updated 07/18/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 701503
  • AR Medicaid 165224710
  • OK Medicaid 200038030B
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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