Individual
KRISTIN ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1214 S NEW HAVEN AVE, TULSA, OK 74112-5130
(918) 324-6271
Mailing address
1214 S NEW HAVEN AVE, TULSA, OK 74112-5130
(918) 557-3716
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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