Individual
REED KARL BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1105 E ALLEN RD, TAHLEQUAH, OK 74464-2119
(918) 931-1471
(918) 458-9977
Mailing address
1105 E ALLEN RD, TAHLEQUAH, OK 74464-2119
(918) 931-1471
(918) 458-9977
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
201
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
N005469
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
P-155
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780690B
—
OK
05
—
100847240A
—
OK
05
—
100849930B
—
OK
Enumeration date
06/18/2005
Last updated
10/28/2014
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