Mary Kathlene Mills, DO Valid NPI

Individual provider · Family Medicine Physician · Broken Arrow, OK

NPI

1316960339

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

3134 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-25

Last updated

2014-05-06