Kathleen Ann Glaze
Gynecologist
1145 S Utica Ave Ste 514
Tulsa
, Oklahoma 74104-4014
Kathleen Ann Glaze
Gynecologist
1145 S Utica Ave Ste 514
Tulsa
, Oklahoma 74104-4014
(918) 583-3857
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Kathleen Ann Glaze
- 1145 South Utica #514
- Tulsa, OK
- Zip : 74104
- Fax : (918) 583-3857
- Phone : (918) 583-6868
Second Address
- Kathleen Ann Glaze
- 1145 S Utica Ave Ste 514
- Tulsa, OK
- Zip : 74104-4014
- Fax : (918) 583-3857
- Phone : (918) 583-6868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 13761 | OK |
National Provider Identifier
| NPI | 1073686051 |
|---|---|
| Provider Name | Kathleen Ann Glaze |
| First Address | Tulsa, OK 74104 |
| Second Address | Tulsa, OK 74104-4014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 01/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D34701 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.