Individual
ELISA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-4547
Mailing address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-4547
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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