Organization
HARVARD FAMILY PHYSICIANS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ARTHUR MUCKALA M.D. (CEO/PRESIDENT)
(918) 743-8200
Entity
Organization
Contact information
Practice address
7912 E 31ST CT, SUITE 220, TULSA, OK 74145-1315
(918) 743-8200
Mailing address
7912 E 31ST CT, SUITE 220, TULSA, OK 74145-1315
(918) 743-8200
(918) 743-8609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2623
OK
207Q00000X
Family Medicine Physician
11366
OK
207Q00000X
Family Medicine Physician
13762
OK
207Q00000X
Family Medicine Physician
14337
OK
207Q00000X
Family Medicine Physician
Primary
14483
OK
207Q00000X
Family Medicine Physician
15691
OK
207Q00000X
Family Medicine Physician
15800
OK
207Q00000X
Family Medicine Physician
16314
OK
207Q00000X
Family Medicine Physician
21221
OK
207Q00000X
Family Medicine Physician
22222
OK
207Q00000X
Family Medicine Physician
26464
OK
207V00000X
Obstetrics & Gynecology Physician
24064
OK
207V00000X
Obstetrics & Gynecology Physician
3713
OK
208000000X
Pediatrics Physician
17805
OK
208000000X
Pediatrics Physician
4733
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100740300A
—
OK
Enumeration date
05/23/2006
Last updated
06/07/2018
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