KEVIN M. RICCITELLI, D.O. LLC. - NPI 1881747806 - Family Medicine in Lawton, OK

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Kevin M. Riccitelli, D.o. Llc. NPPES

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

KEVIN M. RICCITELLI, D.O. LLC. (NPI 1881747806) is a healthcare organization registered as a family medicine in Lawton, Oklahoma and active in the NPI registry since January 2007. The organization lists Kevin Mark Riccitelli, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1881747806

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKEVIN M. RICCITELLI, D.O. LLC.

Location Address916 SW 38TH ST, SUITE D.Lawton, OK 73505-7005

Mailing Address916 Sw 38th St, Suite D.Lawton, OK 73505-7005 · (580) 248-1199 · Fax (580) 248-3679

Phone(580) 248-1199

Fax(580) 248-3679

Organization SubpartNo

Authorized OfficialKevin Mark RiccitelliPhysician Owner · (580) 248-1199

Enumeration DateJanuary 21, 2007

Last NPPES UpdateOctober 24, 2007

✔ NPI 1881747806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 2220

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

916 SW 38TH ST, Lawton, OK 73505

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Other Identifiers 1

Medicare UPIND60729OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP