Organization
KIMBERLY K HANIGAR
Active
Other names
McLoud Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY K HANIGAR MD (OWNER)
(405) 964-6463
Entity
Organization
Contact information
Practice address
704 S 8TH STREET, MCLOUD, OK 74851-0530
(405) 964-6463
(405) 964-2412
Mailing address
PO BOX 530, 704 S 8TH STREET, MCLOUD, OK 74851-0530
(405) 964-6463
(405) 964-2412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126130C
—
OK
Enumeration date
12/26/2006
Last updated
06/19/2008
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