Provider Demographics
NPI:1982935391
Name:FREDERICK OKIE, M.D., L.L.C.
Entity Type:Organization
Organization Name:FREDERICK OKIE, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OKIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-421-2460
Mailing Address - Street 1:PO BOX 380
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-0380
Mailing Address - Country:US
Mailing Address - Phone:620-421-2460
Mailing Address - Fax:620-421-2462
Practice Address - Street 1:1902 S US HIGHWAY 59 BLDG A
Practice Address - Street 2:STE 6
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4948
Practice Address - Country:US
Practice Address - Phone:620-421-2460
Practice Address - Fax:620-421-2462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-32209207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty