Individual
BLAKE KRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
14625 NE 23RD ST, CHOCTAW, OK 73020-8728
(405) 390-8131
Mailing address
2717 SHADY TREE LN, EDMOND, OK 73013-5665
(405) 390-8131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2717
—
OK
Enumeration date
04/22/2022
Last updated
04/22/2022
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