Healthcare Provider Details

I. General information

NPI: 1255694246
Provider Name (Legal Business Name): KRISTI FRANS MOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2012
Last Update Date: 06/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 E 36TH ST
TULSA OK
74135-5810
US

IV. Provider business mailing address

6201 E 36TH ST
TULSA OK
74135-5810
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-3430
  • Fax:
Mailing address:
  • Phone: 918-622-3430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberOT 681
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: