Individual
LINDA J HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 NE 10TH ST, OUPB1430, OKLAHOMA CITY, OK 73104-5417
(405) 271-5641
Mailing address
793 EASTERN BYP, SUITE G2, RICHMOND, KY 40475-2422
(859) 626-0074
(859) 626-3265
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
23580
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017270B
—
OK
05
—
64306756
—
KY
Enumeration date
03/17/2006
Last updated
10/23/2013
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