Individual
MR. KEVIN PAUL TWIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(866) 397-7556
Mailing address
350 S 40TH ST, MUSKOGEE, OK 74401-4915
(918) 683-0753
(866) 397-7556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
978
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200269760A
—
OK
Enumeration date
03/06/2007
Last updated
07/18/2016
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