Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 35388 | OK |
NPI | 1497118418 |
---|---|
Provider Name | Anna Kuan-Celarier |
First Address | Oklahoma City, OK 73104-5418 |
Second Address | Oklahoma City, OK 73104-5418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 08/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2414500 | (05) | LA |