KENNETH M EGAN M.D.
NPI 1275698862
Pediatrics in Clinton, OK

Q: What is Kenneth Egan's NPI number?

The NPI number for Kenneth Egan is 1275698862. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Q: What is Kenneth Egan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Egan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 26, 2006

RR 1 BOX 3060, CLINTON, OK 73601(580) 323-2884(580) 323-2579 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth M Egan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH M EGAN M.D. (NPI 1275698862) is an individual pediatrics provider in Clinton, Oklahoma, licensed in Ohio (35050525E) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1275698862

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKENNETH M EGANCredential: M.D.

Location AddressRR 1 BOX 3060Clinton, OK 73601-9303

Mailing Address215 S 28th St, Apt # B-3Clinton, OK 73601-3609 · (580) 323-2884 · Fax (580) 323-2579

Phone(580) 323-2884

Fax(580) 323-2579

Sole ProprietorNo

Enumeration DateDecember 26, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1275698862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35050525E

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

RR 1 BOX 3060, Clinton, OK 73601

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Other Identifiers 3

Medicare OSCAR/certification8HZ453OK

Medicare UPINH38769OK

Medicaid9135050OK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES MEJIAS MD

Specialist