Individual
MRS. KRISTI LYN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,BHRS,CMII
Contact information
Practice address
4444 E 41ST ST., SUITE 1120, TULSA, OK 74135
(918) 660-3150
(918) 660-3143
Mailing address
4444 E 41ST ST., SUITE 1120, TULSA, OK 74135
(918) 660-3150
(918) 660-3143
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410110A
—
OK
Enumeration date
01/09/2012
Last updated
07/07/2014
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