Provider Demographics
NPI:1023452596
Name:LINDEMUTH, MARY KATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:KATHLEEN
Last Name:LINDEMUTH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-552-0400
Mailing Address - Fax:405-752-4251
Practice Address - Street 1:10900 HEFNER POINTE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-5082
Practice Address - Country:US
Practice Address - Phone:405-552-0400
Practice Address - Fax:405-752-4251
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2020-09-09
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Provider Licenses
StateLicense IDTaxonomies
OK29997208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery