Provider Demographics
NPI:1487036604
Name:BOYER, KRYSTON RENEE (DO)
Entity Type:Individual
Prefix:
First Name:KRYSTON
Middle Name:RENEE
Last Name:BOYER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5310 E 31ST ST FL 13
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5018
Mailing Address - Country:US
Mailing Address - Phone:918-561-5701
Mailing Address - Fax:918-561-1173
Practice Address - Street 1:802 S JACKSON AVE STE 225
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-9049
Practice Address - Country:US
Practice Address - Phone:918-582-7711
Practice Address - Fax:918-583-5831
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2022-11-28
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Provider Licenses
StateLicense IDTaxonomies
OK5949208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)