Individual
DR. KRISTI G SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5100 N BROOKLINE AVE, SUITE 500, OKLAHOMA CITY, OK 73112-3623
(405) 605-8780
(405) 605-8782
Mailing address
5100 N BROOKLINE AVE STE 500, OKLAHOMA CITY, OK 73112-3626
(405) 605-8780
(405) 605-8782
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18173
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100144570A
—
OK
01
—
250013313
RAILROAD MEDICARE
OK
Enumeration date
02/01/2006
Last updated
01/12/2016
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