Individual
KRISTY LEE SUNDENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Mailing address
1515 N HARVARD AVE, STE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24743
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079750A
—
OK
Enumeration date
04/25/2006
Last updated
07/16/2010
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