Individual
KATIE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
05/13/2024
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