Gaydos, Kala Marie

Gaydos, Kala Marie is an individual health care provider with primary practice located at 3336 E 32Nd St Ste 220 , Tulsa OK 74135. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gaydos, Kala Marie can be contacted via phone (918) 398-0800.

Contact Information

Primary practice address
3336 E 32Nd St Ste 220 Tulsa OK 74135
Phone: (918) 398-0800
Fax: (918) 398-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 96559 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 820817 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 96559 Oklahoma

Profile Details

NPI number 1972876191
LBN Legal business name Gaydos, Kala Marie
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2012
Last updated Jan 15th, 2019 - about 6 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 1972876191 NPPES
Oklahoma MEDICAID 200772750A

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