Individual
KENT DOUGLAS SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 KINKEAD RD, MCALESTER, OK 74501-7718
(918) 916-0574
(918) 423-6095
Mailing address
901 KINKEAD RD, MCALESTER, OK 74501-7718
(918) 916-0574
(918) 423-6095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0048209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100787330A
—
OK
Enumeration date
02/08/2006
Last updated
07/10/2013
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