Individual
DR. KATHLEEN M. SISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12800 S MEMORIAL DR STE D, BIXBY, OK 74008-2577
(918) 494-2665
(918) 927-3193
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18075
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046000A
—
OK
Enumeration date
11/29/2005
Last updated
10/22/2020
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