Individual
DR. CHRISTOPHER KEVIN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 S AVENUE D, BURKBURNETT, TX 76354
(833) 379-9288
(405) 253-0577
Mailing address
801 SUGARBUSH LN, BURKBURNETT, TX 76354-2538
(833) 379-9288
(405) 253-0577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
22301
OK
2084P0800X
Psychiatry Physician
MD462998
PA
2084P0800X
Psychiatry Physician
Primary
R5489
TX
208D00000X
General Practice Physician
R5489
TX
Other
Enumeration date
09/17/2006
Last updated
10/29/2018
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