Kalkbrenner Burr, Edith Ann
Kalkbrenner Burr, Edith Ann is an individual health care provider with primary practice located at 1921 Stonecipher Dr , Ada OK 74820-3439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kalkbrenner Burr, Edith Ann can be contacted via phone (580) 421-4570.Contact Information
Primary practice address
1921 Stonecipher Dr
Ada OK 74820-3439
Phone: (580) 421-4570
Fax: (580) 421-6283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1594 | Oklahoma |
Profile Details
| NPI number | 1700923414 |
|---|---|
| LBN Legal business name | Kalkbrenner Burr, Edith Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Nov 7th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700923414 | NPPES |
| Oklahoma | MEDICAID | 1700923414 |
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