Whalio Doctors

NPI 1982636155

Monica S Kidwell, DO

Practitioner Pediatrics Physician Coweta, OK

Practice location

Address
31870 E State Highway 51, Coweta, OK 74429-7900
Phone
(918) 279-3200
Fax
(918) 279-1118
Mailing address
31870 E State Highway 51 P.O. Box 900, Coweta, OK 74429-7900

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2586 (OK)

Registry record

NPI
1982636155
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jul 2006
Record last updated
12 Oct 2011

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.