NPI 1598082398

Kevin W Maddox, DO

Practitioner Anatomic Pathology & Clinical Pathology Physician Ada, OK

Practice location

Address: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: (580) 421-4570
Fax: (614) 442-2430
Mailing address: PO Box 20452 Sopa/Apa Cred, Columbus, OH 43220-0452

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 5590 (OK)

Other Pathology providers in Oklahoma →

Registry record

NPI: 1598082398
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2010
Record last updated: 14 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.