Individual
KATHARINE PENTECOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
920 SL YOUNG BLVD, WP1310, OKLAHOMA CITY, OK 73104-5036
(405) 271-8001
(405) 271-5892
Mailing address
920 SL YOUNG BLVD, WP1310, OKLAHOMA CITY, OK 73104-5036
(405) 271-8001
(405) 271-5892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2343
OK
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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