Kalkbrenner Burr, Edith Ann

Kalkbrenner Burr, Edith Ann is an individual health care provider with primary practice located at 1921 Stonecipher Dr , Ada OK 74820-3439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kalkbrenner Burr, Edith Ann can be contacted via phone (580) 421-4570.

Contact Information

Primary practice address
1921 Stonecipher Dr Ada OK 74820-3439
Fax: (580) 421-6283
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1594 Oklahoma

Profile Details

NPI number 1700923414
LBN Legal business name Kalkbrenner Burr, Edith Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Nov 7th, 2012 - about 13 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 1700923414 NPPES
Oklahoma MEDICAID 1700923414

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