Individual
KALLAN VICTORIA EIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 582-1972
Mailing address
10062 PLEASANT PINE LN, FRISCO, TX 75035-1738
(515) 333-3693
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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