Individual
KATHRYN S NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4700
(580) 531-6477
Mailing address
PO BOX 840807, DALLAS, TX 75284-0807
(580) 531-4700
(580) 531-6477
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16467
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090180A
—
OK
01
—
731044914045
BCBS OF OK
—
Enumeration date
08/18/2005
Last updated
11/19/2012
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