Kristen B Buckallew

NPI #1053805002 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1053805002
Entity Type: Individual
Name: Kristen B Buckallew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jun 21, 2018
Last Updated: Jun 21, 2018

Practice Location

Address: 4913 W RENO AVE
City: Oklahoma City
State: Oklahoma
ZIP Code: 73127-6339
Phone: (405) 948-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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