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Individual

MRS. KRISTEN PAIGE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 748-1300
Mailing address
1717 S UTICA AVE, STE A, TULSA, OK 74104-5346

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OK

Other

Enumeration date
01/12/2018
Last updated
11/01/2019
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