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Individual

KAYSE M SHRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
717 S HOUSTON AVE FL 4, TULSA, OK 74127-9023
(918) 382-4600
(918) 382-3183
Mailing address
717 S HOUSTON AVE FL 4, TULSA, OK 74127-9023
(918) 382-4600
(918) 382-3183

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3697
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100091790B
OK
01
OK404764
MEDICARE
OK
Enumeration date
03/28/2006
Last updated
02/12/2019
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