Organization
KINGSTON PUBLIC SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY MCADAMS (SUPERINTENDENT)
(580) 564-9033
Entity
Organization
Contact information
Practice address
400 NE 3D STREET, KINGSTON, OK 73439-0370
(580) 564-9033
(580) 564-9516
Mailing address
400 NE 3D STREET, PO BOX 370, KINGSTON, OK 73439-0370
(580) 564-9033
(580) 564-9516
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
251K00000X
OK
Other
Enumeration date
10/20/2006
Last updated
08/22/2020
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