Healthcare Provider Details

I. General information

NPI: 1427058809
Provider Name (Legal Business Name): KRISTI MICHELLE PARKER P. A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SONOMA PARK DR
EDMOND OK
73013-2092
US

IV. Provider business mailing address

2000 SONOMA PARK DR
EDMOND OK
73013-2092
US

V. Phone/Fax

Practice location:
  • Phone: 405-285-2260
  • Fax:
Mailing address:
  • Phone: 405-285-2260
  • Fax: 405-285-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1408
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1408
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: