NPI 1639316383
Kory Sams, CPEDRPOA
Practice location
- Address
- 2116 E 15th St, Tulsa, OK 74104-4614
- Phone
- (918) 742-6464
- Fax
- (918) 742-9933
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1639316383
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jan 2009
- Record last updated
- 17 Jan 2009
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.