Individual
KARISA LYNNE DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131-1253
(405) 341-7009
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
360002624A
IN
363A00000X
Physician Assistant
10003723A
IN
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
11/30/2016
Last updated
12/13/2022
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