Individual
DR. KYLE V MCGIVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3130 SW 89TH ST STE 200, OKLAHOMA CITY, OK 73159-7909
(972) 846-0837
(214) 764-3113
Mailing address
3705 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-1937
(405) 297-4968
(972) 848-5269
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5293
OK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
5293
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5293
MEDICAL LICENSE
OK
Enumeration date
06/08/2011
Last updated
09/30/2024
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