Individual
KRISTY KAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
6465 S YALE AVE, SUITE 507, TULSA, OK 74136-7823
(918) 481-2760
(918) 481-2775
Mailing address
6465 S YALE AVE, SUITE 507, TULSA, OK 74136-7823
(918) 481-2760
(918) 481-2775
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R0057565
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428170A
—
OK
Enumeration date
04/12/2012
Last updated
10/18/2012
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