Individual
MS. EDITH ANN KALKBRENNER BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4570
(580) 421-6283
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1594
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700923414
—
OK
Enumeration date
01/31/2007
Last updated
11/07/2012
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