Individual
CARISSA KULCZYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3435 NW 56TH ST STE 600, OKLAHOMA CITY, OK 73112-4442
(405) 713-4400
(405) 713-4473
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 713-4400
(405) 713-4473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6012
OK
Other
Enumeration date
05/12/2015
Last updated
09/03/2019
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