Carlson, Kathleen Loree

Carlson, Kathleen Loree is an individual health care provider with primary practice located at 7614 E 91St Street Suite 100, Tulsa OK 74133-6047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Carlson, Kathleen Loree can be contacted via phone (918) 495-1144.

Contact Information

Primary practice address
7614 E 91St Street Suite 100 Tulsa OK 74133-6047
Fax: (918) 495-3518
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 11624 Oklahoma

Profile Details

NPI number 1679668552
LBN Legal business name Carlson, Kathleen Loree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679668552 NPPES
Oklahoma Other 11624 OK STATE BOARD
Oklahoma Other 14980 OK STATE BOARD
Oklahoma Other AC8351873 OK STATE BOARD

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