Organization
KARISSA MISNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA M MISNER (OWNER)
(918) 894-9162
Entity
Organization
Contact information
Practice address
300 ROCKEFELLER DR, REHABILITATION UNIT, MUSKOGEE, OK 74401-5075
(918) 684-2522
(918) 684-2493
Mailing address
1216 E KENOSHA ST, PMB 326, BROKEN ARROW, OK 74012-2007
(918) 615-6581
(918) 893-1242
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4643
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200474240A
—
OK
Enumeration date
04/30/2012
Last updated
12/31/2013
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