Riccitelli, Kevin Mark

Riccitelli, Kevin Mark is an individual health care provider with primary practice located at 304 S 29Th St , Chickasha OK 73018-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Riccitelli, Kevin Mark can be contacted via phone (405) 896-8058.

Contact Information

Primary practice address
304 S 29Th St Chickasha OK 73018-2501
Phone: (405) 896-8058
Fax: (855) 223-1999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2220 Oklahoma

Profile Details

NPI number 1982603536
LBN Legal business name Riccitelli, Kevin Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2005
Last updated Apr 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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