Individual
DR. KATHLEEN LOREE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7614 E 91ST STREET, SUITE 100, TULSA, OK 74133-6047
(918) 495-1144
(918) 495-3518
Mailing address
7614 E 91ST STREET, SUITE 100, TULSA, OK 74133-6047
(918) 495-1144
(918) 495-3518
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
11624
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11624
OK STATE BOARD
OK
01
—
14980
STATE BUREAU OF NARCOTICS
OK
01
—
AC8351873
DEPT OF JUSTICE
—
Enumeration date
10/04/2006
Last updated
07/08/2007
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