Individual
KRISTINA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
920 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-5251
Mailing address
920 SL YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-5251
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28581
OK
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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