Healthcare Provider Details

I. General information

NPI: 1134990633
Provider Name (Legal Business Name): CALIBER MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2024
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3727 NW 63RD ST STE 205
OKLAHOMA CITY OK
73116-1923
US

IV. Provider business mailing address

10024 NE 145TH ST
JONES OK
73049-4945
US

V. Phone/Fax

Practice location:
  • Phone: 405-254-0131
  • Fax:
Mailing address:
  • Phone: 405-254-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: AMANDA LYNN KNOWLES
Title or Position: OWNER/PA
Credential: PA
Phone: 405-254-0131