Kayla D Lakin Southern (NPI# 1205815537, PAC ID# 6709840168) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1205815537 |
PAC ID by PECOS | 6709840168 |
Professional Enrollment ID | I20041116000085 |
Full Name | Kayla D Lakin Southern |
Organization Legal Name | WAGONER HOSPITAL AUTHORITY |
Address |
1200 W Cherokee St Wagoner OK 74467-4624 |
Phone Number | 9184855514 |
Gender | F |
Credential | DO |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 1982 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0042217531 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370166 | WAGONER COMMUNITY HOSPITAL |
370190 | SOUTHWESTERN REGIONAL MEDICAL CENTER |
370029 | ALLIANCEHEALTH CLINTON |
Address | Phone | Organization |
---|---|---|
100 N 30th St, Integris Clinton Regional Hospital, Clinton, OK 73601-3117 | 5803232363 | OKLAHOMA EMERGENCY PHYSICIAN PARTNERS PLLC |
10109 E 79th St, Tulsa, OK 74133-4564 | 9182865000 | CANCER TREATMENT CENTERS OF AMERICA PROFESSIONAL CORP OF OKLAHOMA. INC |
1200 W Cherokee St, Wagoner, OK 74467-4624 | 9184855514 | WAGONER HOSPITAL AUTHORITY |
Organization Legal Name | WAGONER HOSPITAL AUTHORITY |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard G Allen | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Michael S Freeman | General Surgery | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Thai-hao Nguyen | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Shalini Sangal | Psychiatry | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
William J Guthrie | Emergency Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
David H Good | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Jeffrey R Morris | Orthopedic Surgery | Wagoner Hospital Authority | 1202 W Cherokee St, Suite F, Wagoner, OK 74467-4629 |
Bryan Casey Hanna | Family Practice | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Mark B Willits | Orthopedic Surgery | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Warren William Pagel | Anesthesiology | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Street Address |
1200 W CHEROKEE ST |
City | WAGONER |
State | OK |
Zip | 74467-4624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard G Allen | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Michael S Freeman | General Surgery | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Thai-hao Nguyen | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Shalini Sangal | Psychiatry | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
William J Guthrie | Emergency Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
David H Good | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Bryan Casey Hanna | Family Practice | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Mark B Willits | Orthopedic Surgery | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Warren William Pagel | Anesthesiology | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
John P Perry | Emergency Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Michele K Bucholtz | Family Medicine | 1102 W Cherokee St A, Next Generation Family Medical Clinic LLC, Wagoner, OK 74467-4600 | |
Angela Marie Cohen | Physical Therapy | Redbud Physical Therapy LLC | 817 W Cherokee St, Wagoner, OK 74467-4616 |
Bradley Edward Holland | Physical Therapy | Redbud Physical Rehabilitation PC | 817 W Cherokee St, Wagoner, OK 74467-4616 |
John T Belk | Family Medicine | 1103 W Cherokee St, Wagoner, OK 74467-4621 | |
Jeffrey A Mitchell | Optometry | 1108 W Cherokee St, Wagoner, OK 74467-4622 | |
Harold E Goldman | Neurology | Eeg Corporation | 1200 W Cherokee, Wagoner, OK 74467-4624 |
Chelsea C Mcgee | Cardiovascular Disease (cardiology) | 1202 W Cherokee St, Suite B, Wagoner, OK 74467-4629 | |
Robyn J Farmer | Nurse Practitioner | Farmer Family Practice | 1202 W Cherokee St, Suite G, Wagoner, OK 74467-4629 |
Valerie M Pack | Family Medicine | 1202 W Cherokee St, Suite E, Wagoner, OK 74467-4629 | |
Jeffrey R Morris | Orthopedic Surgery | Wagoner Hospital Authority | 1202 W Cherokee St, Suite F, Wagoner, OK 74467-4629 |
Find all physicians in zip 74467 |
City | WAGONER |
Zip Code | 74467 |
Specialty | FAMILY MEDICINE |
City + Specialty | WAGONER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kayla D Lakin Southern.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.