Individual
KRISTA L SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8315 S WALKER AVE, OKLAHOMA CITY, OK 73139-9449
(405) 492-0075
Mailing address
PO BOX 720809, OKLAHOMA CITY, OK 73172-0809
(405) 492-0075
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4135
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100736110A
—
OK
01
—
14547441180
GROUP NPI
OK
01
—
4135
OKLAHOMA STATE BOARD OF AUDIOLOGY
OK
Enumeration date
08/16/2013
Last updated
07/07/2021
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