Individual
KATIE VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 N LEE AVE, RM. 1980, OKLAHOMA CITY, OK 73102-1036
(405) 272-8437
(405) 231-3007
Mailing address
8835 KENSINGTON DR, SHREVEPORT, LA 71118-2012
(318) 286-5978
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006220A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
01/06/2021
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