Individual
KALA J OMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9001 S 101ST EAST AVE, STE 270, TULLSA, OK 74133-5711
(918) 392-7000
(918) 392-7013
Mailing address
9001 S 101ST EAST AVE, SUITE 270, TULSA, OK 74133-5711
(918) 392-7000
(918) 392-7013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3526
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097460C
—
OK
01
—
800522535
MEDICARE GROUP PIN
OK
Enumeration date
01/13/2006
Last updated
07/29/2013
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