Individual
MRS. KRISTEN WALTERS HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3400 W TECUMSEH RD STE 101, NORMAN, OK 73072
(405) 360-6764
(405) 360-6769
Mailing address
1800 RENAISSANCE BLVD, SUITE 210, EDMOND, OK 73013-3023
(405) 509-7370
(405) 509-7373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1682
OK
363AS0400X
Surgical Physician Assistant
Primary
PA1682
OK
Other
Enumeration date
03/07/2008
Last updated
02/14/2019
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