Healthcare Provider Details

I. General information

NPI: 1225436876
Provider Name (Legal Business Name): JOHN KARLIN ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 DAGGETT AVE
KLAMATH FALLS OR
97601-1106
US

IV. Provider business mailing address

3701 E MAIN ST
WEATHERFORD OK
73096-3309
US

V. Phone/Fax

Practice location:
  • Phone: 541-274-6221
  • Fax:
Mailing address:
  • Phone: 580-772-5551
  • Fax: 580-774-0964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10026228
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberOK74696
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: