Individual
MRS. KATHLEEN MARY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30011 E STATE HIGHWAY 51, COWETA, OK 74429-7681
(918) 486-2161
(918) 486-3135
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6479
OK
Other
Enumeration date
03/09/2017
Last updated
10/20/2020
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