Individual
MRS. KRISTINA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
1265 S. UTICA AVE., SUITE 105, TULSA, OK 74104-4243
(918) 493-7800
(918) 493-7868
Mailing address
1145 S. UTICA AVENUE, SUITE 110, TULSA, OK 74104-4013
(918) 579-3826
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
100145
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100145
FIRST ASSISTANT CERTIFICA
OK
Enumeration date
10/31/2006
Last updated
05/15/2009
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