Individual
DR. KAELIN COLLEEN MERVELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13901 MCAULEY BLVD, SUITE 100, OKLAHOMA CITY, OK 73134-8700
(405) 748-5800
Mailing address
13901 MCAULEY BLVD, SUITE 100, OKLAHOMA CITY, OK 73134-8700
(405) 748-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.055161
IL
207RN0300X
Nephrology Physician
Primary
29625
OK
Other
Enumeration date
06/26/2008
Last updated
11/05/2013
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