Provider Demographics
NPI:1700839883
Name:DAGG, KATHY KERNEK (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:KERNEK
Last Name:DAGG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4401 W MEMORIAL RD
Mailing Address - Street 2:SUITE140
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1785
Mailing Address - Country:US
Mailing Address - Phone:405-752-3162
Mailing Address - Fax:405-936-5211
Practice Address - Street 1:701 E ROBINSON ST
Practice Address - Street 2:SUITE A 100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6652
Practice Address - Country:US
Practice Address - Phone:405-321-4644
Practice Address - Fax:405-447-1061
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-04-28
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Provider Licenses
StateLicense IDTaxonomies
OK14425207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology