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Organization
KEVIN M. RICCITELLI, D.O. LLC.
Active
Organization
KEVIN M. RICCITELLI, D.O. LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MARK RICCITELLI D.O. (PHYSICIAN OWNER)
(580) 248-1199
Entity
Organization
Contact information
Practice address
916 SW 38TH ST, SUITE D., LAWTON, OK 73505-7005
(580) 248-1199
(580) 248-3679
Mailing address
916 SW 38TH ST, SUITE D., LAWTON, OK 73505-7005
(580) 248-1199
(580) 248-3679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2220
OK
Other
Enumeration date
01/21/2007
Last updated
10/24/2007
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