Doctor Name: | KASEY BETH MINKS |
NPI Number: | 1063831188 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 744 W 9th St Tulsa, OK - 741279020 |
Business Phone Number: | 9185995922 |
Business Fax Number: | |
Mailing Address: | 1415 W 78th St, Apt 1108 TULSA |
State: | OK |
Postal Code: | 741324628 |
Phone Number: | 9186497040 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |