Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R0047381 | OK |
NPI | 1003040528 |
---|---|
Provider Name | Carmen Kay Oakes |
First Address | Tulsa, OK 74136-3347 |
Second Address | Tulsa, OK 74136-8327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 10/04/2014 |