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Individual

DR. KRISTYN B. INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
43042
OK
207L00000X
Anesthesiology Physician
N8667
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
N8667
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302497801
TX
05
302497802
TX
05
60826576
NM
Enumeration date
11/29/2007
Last updated
04/08/2024
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