Provider Demographics
NPI:1962502575
Name:LANGKAMP, KARL F (DO)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:F
Last Name:LANGKAMP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E ROBINSON ST
Mailing Address - Street 2:SUITE #1500
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6697
Mailing Address - Country:US
Mailing Address - Phone:405-366-1777
Mailing Address - Fax:405-360-0238
Practice Address - Street 1:500 E ROBINSON ST
Practice Address - Street 2:SUITE #1500
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6697
Practice Address - Country:US
Practice Address - Phone:405-366-1777
Practice Address - Fax:405-360-0238
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100023130CMedicaid
OK100023130CMedicaid