Individual
KYLE E CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1701 S PEORIA AVE, 200, TULSA, OK 74120-6801
(918) 599-0202
(918) 599-0279
Mailing address
1701 S PEORIA AVE, 200, TULSA, OK 74120-6801
(918) 599-0202
(918) 599-0279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2553
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200209770A
—
OK
Enumeration date
08/22/2008
Last updated
02/12/2009
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