Provider Demographics
NPI:1700861069
Name:ARMSTRONG, KRIS (MD)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12702 E. 86TH ST. NORTH
Mailing Address - Street 2:ARMSTRONG MEDICAL CLINIC
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055
Mailing Address - Country:US
Mailing Address - Phone:918-274-9300
Mailing Address - Fax:918-376-2271
Practice Address - Street 1:12702 E. 86TH ST. NORTH
Practice Address - Street 2:ARMSTRONG MEDICAL CLINIC
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055
Practice Address - Country:US
Practice Address - Phone:918-274-9300
Practice Address - Fax:918-376-2271
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-09
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK13729207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKC94645Medicare UPIN