Healthcare Provider Details

I. General information

NPI: 1275510315
Provider Name (Legal Business Name): KAREN K OELKE A.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIM K OELKE A.P.N.

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 BRANSON LANDING BLVD STE. 100
BRANSON MO
65616-4500
US

IV. Provider business mailing address

545 BRANSON LANDING BLVD STE. 100
BRANSON MO
65616-4500
US

V. Phone/Fax

Practice location:
  • Phone: 417-348-8646
  • Fax: 417-335-7588
Mailing address:
  • Phone: 417-348-8646
  • Fax: 417-335-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAO1118ANP
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2008034729
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: