Provider Demographics
NPI:1124234638
Name:MCFARLAND, KEVIN M (PT)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:M
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 S HEATHER AVE
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-5031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10915 E 31ST ST
Practice Address - Street 2:SUITE B-12
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-1745
Practice Address - Country:US
Practice Address - Phone:918-663-9946
Practice Address - Fax:918-663-9063
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT2830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist