Provider Demographics
NPI:1679816250
Name:BEAMAN, KRYSTINA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTINA
Middle Name:KAY
Last Name:BEAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRYSTINA
Other - Middle Name:KAY
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3347
Mailing Address - Country:US
Mailing Address - Phone:918-488-6653
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:11106 S YALE AVE STE 100
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7620
Practice Address - Country:US
Practice Address - Phone:918-895-7000
Practice Address - Fax:918-895-7213
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32150207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine