Provider Demographics
NPI:1689021842
Name:GROUND, CHRISTEN DENISE (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:DENISE
Last Name:GROUND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:DENISE
Other - Last Name:BRUMMETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1908 N 14TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-2039
Mailing Address - Country:US
Mailing Address - Phone:918-863-9240
Mailing Address - Fax:
Practice Address - Street 1:1908 N 14TH ST STE 202
Practice Address - Street 2:
Practice Address - City:PONCA CITY
Practice Address - State:OK
Practice Address - Zip Code:74601-2039
Practice Address - Country:US
Practice Address - Phone:580-718-4506
Practice Address - Fax:580-718-4582
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10477200207Q00000X
OK7208207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine