Individual
CAROLYN E KLOEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104
(405) 271-6060
(405) 271-1926
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-1926
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
227099
MA
207W00000X
Ophthalmology Physician
Primary
34261
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200804850A
—
OK
Enumeration date
07/10/2006
Last updated
07/15/2020
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