Individual
KALE SCOTT GOERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(580) 791-1027
Mailing address
1128 NW 56TH ST, OKLAHOMA CITY, OK 73118-1222
(580) 791-1027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6407
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2017
Last updated
06/11/2021
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