Individual
KARIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
3000 N 13TH ST, BROKEN ARROW, OK 74012-8219
(918) 845-6323
Mailing address
3000 N 13TH ST, BROKEN ARROW, OK 74012-8219
(918) 845-6323
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99572
TX
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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