Individual
DR. TODD ANTHONY KREHBIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2117 N. KELLY AVE., EDMOND, OK 73003-3908
(405) 726-2701
(405) 726-2702
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8420
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18489
OK
208000000X
Pediatrics Physician
18489
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136830D
—
OK
01
—
P00091305
RAILROAD MEDICARE
—
Enumeration date
07/12/2005
Last updated
03/12/2015
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