Individual
KRISTIN D PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11212 E 48TH ST, WARREN CLINIC, TULSA, OK 74146-5806
(918) 556-3000
(918) 556-7066
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
(918) 488-6001
(918) 488-6010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1591
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103480A
—
OK
Enumeration date
03/19/2007
Last updated
09/03/2013
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