MEDICARE: DR. KAREN A HEUPEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0100X	Aerospace Medicine Physician	G080761	CA

General Provider Information

NPI Number	:	1033104898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN A HEUPEL M.D.

Provider Business Mailing Address
First Line	:	6400 RAMBRIDGE DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-1728
Country	:	US
Telephone Number	:	334-224-0349
Fax Number	:

Provider Business Practice Location Address
First Line	:	FEDERAL AVIATION ADMINISTRATION
Second Line	:	AAM-700 BLDG 13
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73169
Country	:	US
Telephone Number	:	405-954-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2005
Last Update Date	:	02/21/2020

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