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Individual

KAREN S ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
421 E HARTFORD AVE, PONCA CITY, OK 74601-1512
(580) 762-3342
(580) 762-5841
Mailing address
421 E HARTFORD AVE, PONCA CITY, OK 74601-1512
(580) 762-3342
(580) 762-5841

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15203
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004351236
AETNA
OK
05
100201010A
OK
Enumeration date
08/15/2005
Last updated
12/16/2009
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