Individual
JASON ALAN KRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6016 S 66TH EAST AVE, TULSA, OK 74145-9210
(918) 231-0195
Mailing address
6920 S 77TH EAST AVE, TULSA, OK 74133-7739
(918) 934-0194
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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