Kevin W Croft, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

19261 Issued in OK

Legal business name

KEVIN W CROFT, M.D.

Practice address

5389 N 1St Ave
Durant, OK 74701-2599

Phone

(580) 924-5211

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Wallace Croft, M.D.

Title

Owner

Phone

(580) 924-5211

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1417035684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012599",
            "telephone_number": "580-924-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 N 1ST AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012599",
            "telephone_number": "580-924-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN W CROFT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-924-5211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "19261",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "32094",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Kennedy, APRN
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• Kenneth L. Cone DDS, PC
• Shelly Kepler, LMFT
• Emily Elizabeth Key
• Christy D Keys
• Sangeeta Khetpal, MD
• Vivek Khetpal, M.D.
• Stephen C Khoury, DO

• Ophthalmology Physician in Durant, OK
• Providers in Durant, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.