Individual
MRS. KRISTIN M COLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 EAST 15TH ST., STE 400 A, EDMOND, OK 73013
(405) 341-1697
Mailing address
18007 TIMBER VALLEY DR, CHOCTAW, OK 73020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1817
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1817
STATE MEDICAL LICENSE
OK
Enumeration date
03/26/2010
Last updated
06/18/2015
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