Individual
DR. KRISTIN DIANE CONKLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5125 E 107TH PL, TULSA, OK 74137-7236
(254) 718-8654
Mailing address
5125 E 107TH PL, TULSA, OK 74137-7236
(254) 718-8654
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
19804
OK
Other
Enumeration date
06/09/2007
Last updated
07/08/2007
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