Individual
DR. KATHERINE A MANSALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 NW 56TH ST STE 100, OKLAHOMA CITY, OK 73112-4517
(405) 951-2855
(405) 951-2858
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 951-2855
(405) 951-2858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01091073A
IN
207Q00000X
Family Medicine Physician
Primary
33463
OK
Other
Enumeration date
09/05/2008
Last updated
09/15/2023
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