Individual
KEVIN MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.(R)
Contact information
Practice address
806 S HARVEY ST, COALGATE, OK 74538-3818
(580) 258-8772
Mailing address
806 S HARVEY ST, COALGATE, OK 74538-3818
(580) 258-8772
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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