Individual
KRISTOPHER R AVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1805 COMMONS CIR STE 100-C, YUKON, OK 73099-9519
(405) 265-0165
(405) 265-0897
Mailing address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 619-4487
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4499
OK
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4499
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4499
MEDICAL LICENSE
OK
Enumeration date
10/15/2007
Last updated
04/14/2021
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