Vandiver, Kerri Lynn

Vandiver, Kerri Lynn is an individual health care provider with primary practice located at 11515 E 31St St , Tulsa OK 74146-1908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Vandiver, Kerri Lynn can be contacted via phone (918) 392-3944.

Contact Information

Primary practice address
11515 E 31St St Tulsa OK 74146-1908
Phone: (918) 392-3944
Fax: (918) 392-3949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R0072206 Oklahoma

Profile Details

NPI number 1366423188
LBN Legal business name Vandiver, Kerri Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 6th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366423188 NPPES
Oklahoma MEDICAID 200044350A

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