Search › Oklahoma › 367500000X
Kelly Bacon
NPI 1700844313 · on the registry since 2006
Practice
- Address
- 1301 E Lincoln Rd
Idabel, OK 74745 - Phone
- (580) 286-7623
- Organisation at this address
- Belmar Emergency Group, Pc
Ouachita Emergency Physicians
Belmar Physician Services, Pc
Woven Emergency Physicians, Llc
Little River Emergency Physicians LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367H00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma