McKenzie Pittman, PA-C
Physician Assistant in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1982148524
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1982148524
- Entity type
- Individual (NPI-1)
- Name
- McKenzie Pittman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2016
- Certification date
- Nov 30, 2021
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2698 | OK | Yes |
Other names
- McKenzie Walta (Former Name)
Practice location
13220 N Macarthur BlvdOklahoma City, OK 73142-3019
Phone 405-608-6877 · Fax 405-521-1979
Mailing address
Po Box 108835Oklahoma City, OK 73101-8835
Phone 405-608-6877 · Fax 405-608-6899
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All 685 Physician Assistant providers in Oklahoma City · All 27,799 providers in Oklahoma City
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