Individual
KISTEN DIAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
212399
OK
367500000X
Certified Registered Nurse Anesthetist
ARNP3104912
FL
Other
Enumeration date
01/11/2011
Last updated
04/12/2023
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