Individual ProviderKenneth D ParrottFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address124 N 6th St, Okeene, OK 73763(580) 822-4404PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth D Parrott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1194769703Provider TypeIndividualFull NameParrott, Kenneth DCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/15/2006Last Updated1/25/2010Contact InformationPractice LocationPractice Address124 N 6th St, Okeene, OK 73763Phone(580) 822-4404Fax(580) 822-4403Mailing LocationMailing Address124 N 6th St, Okeene, OK 73763Phone(580) 822-4404Fax(580) 822-4403Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense12530OklahomaProvider IdentifiersIDDescriptionIssuerIDP00473633DescriptionOtherIssuerRAILROAD MEDICAREID100122630ADescriptionMedicaidIssuerUnlistedOklahomaID731185962002DescriptionOtherIssuerBCBSOklahoma