Kevin M. Riccitelli, D.O. LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2220 Issued in OK

Legal business name

KEVIN M. RICCITELLI, D.O. LLC.

Practice address

916 SW 38TH St
Suite D.
Lawton, OK 73505-7005

Phone

(580) 248-1199

Fax

(580) 248-3679

NPI assigned

Jan 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Mark Riccitelli, D.O.

Title

Physician Owner

Phone

(580) 248-1199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1881747806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SW 38TH ST",
            "address_2": "SUITE D.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057005",
            "telephone_number": "580-248-1199",
            "fax_number": "580-248-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SW 38TH ST",
            "address_2": "SUITE D.",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057005",
            "telephone_number": "580-248-1199",
            "fax_number": "580-248-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. RICCITELLI, D.O. LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "RICCITELLI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "580-248-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Marie Kerrigan Redwine
• Beaux Grant Ketchum
• Charles Lee Ketner
• Elena Marie Ketner, NP
• Trina Kettrles
• Dana Marie Key
• Samiya Khan, M.D.
• Ngum Kikah Atem, MD
• Hyelan Kim
• Hyemin April Kim, DO

• Family Medicine Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.