Individual
DR. KATHLEEN RENE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN-CNP
Contact information
Practice address
921 NE 13TH ST, NUR (118), OKLAHOMA CITY, OK 73104-5007
(405) 456-3787
(405) 456-5961
Mailing address
921 NE 13TH ST, NUR (118), OKLAHOMA CITY, OK 73104-5007
(405) 456-3787
(405) 456-5961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0045933
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3515
VAMC PROVIDER ID
OK
Enumeration date
08/05/2006
Last updated
03/07/2023
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