Individual
DR. KAYCI DAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120-8361
(405) 242-4030
(405) 242-4031
Mailing address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120-8361
(405) 242-4030
(405) 242-4031
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4787
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200254870A
—
OK
Enumeration date
07/15/2009
Last updated
10/27/2015
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