Organization
JENNIFER MCKISSICK DO INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MCKISSICK (DO)
(918) 493-3211
Entity
Organization
Contact information
Practice address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 493-3211
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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