Individual
KASSI STOCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 26TH AVE NW, NORMAN, OK 73069-6366
(405) 801-2323
(405) 801-2366
Mailing address
909 26TH AVE NW, NORMAN, OK 73069-6366
(405) 801-2323
(405) 801-2366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26361
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26361
STATE LICENSE
OK
01
—
E-13758
STATE LICENSE
AR
Enumeration date
07/24/2008
Last updated
01/13/2023
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