Individual
KATHERINE DEWITT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
717 S HOUSTON AVE STE 304, TULSA, OK 74127-9023
(918) 382-5064
(918) 382-3589
Mailing address
2401 SOUTHWEST BLVD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4629
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200244790A
—
OK
01
—
OKA101139
MEDICARE
OK
Enumeration date
07/23/2008
Last updated
06/12/2019
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