Individual
DR. KEVIN DEAN MIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120
(405) 752-3962
(405) 752-3963
Mailing address
145 HOSPITAL AVE STE 211, DU BOIS, PA 15801-1464
(814) 375-2070
(814) 375-2076
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
22101
OK
2084N0400X
Neurology Physician
Primary
MD470175
PA
208M00000X
Hospitalist Physician
22101
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200027210A
—
OK
Enumeration date
02/03/2006
Last updated
06/25/2020
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