Provider Demographics
NPI:1669678124
Name:KATHLEEN M HARDER MD PLLC
Entity Type:Organization
Organization Name:KATHLEEN M HARDER MD PLLC
Other - Org Name:STILLWATER INTERNAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER-PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-707-9800
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74076-0639
Mailing Address - Country:US
Mailing Address - Phone:405-707-9800
Mailing Address - Fax:405-707-0004
Practice Address - Street 1:709 S WESTERN RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4126
Practice Address - Country:US
Practice Address - Phone:405-707-9800
Practice Address - Fax:405-707-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty