NPI 1053805002

Kristen B Buckallew

Practitioner Community Health Worker Oklahoma City, OK

Practice location

Address: 4913 W Reno Ave, Oklahoma City, OK 73127-6339
Phone: (405) 948-4900
Fax: (405) 595-3198

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Oklahoma →

Registry record

NPI: 1053805002
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2018
Record last updated: 21 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.