Healthcare Provider Details

I. General information

NPI: 1649396813
Provider Name (Legal Business Name): KERRI ANN BUERKER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10424 S 198TH EAST AVE
BROKEN ARROW OK
74014-3535
US

IV. Provider business mailing address

10424 S 198TH EAST AVE
BROKEN ARROW OK
74014-3535
US

V. Phone/Fax

Practice location:
  • Phone: 918-809-6591
  • Fax: 918-747-7668
Mailing address:
  • Phone: 918-809-6591
  • Fax: 918-747-7668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: