Individual
DR. DAVID ROBERT KOLKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11711 S HUDSON PL, TULSA, OK 74137-8530
(918) 298-4969
(918) 298-4969
Mailing address
11711 S HUDSON PL, TULSA, OK 74137-8530
(918) 298-4969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1110
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765700A
—
OK
Enumeration date
09/13/2006
Last updated
11/30/2009
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