Individual
MR. KRISTOPHER WAYNE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1265 S UTICA AVE, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
2000 S WHEELING AVE STE 510, TULSA, OK 74104-5642
(918) 747-5200
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
109616
OK
Other
Enumeration date
06/06/2018
Last updated
11/08/2018
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