=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306456694
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARLEE MAJOR AUD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2020
-----------------------------------------------------
Last Update Date | 01/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3824 S BOULEVARD STE 110
-----------------------------------------------------
City | EDMOND
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73013-5779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-562-1810
-----------------------------------------------------
Fax | 405-607-3536
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3434 NW 56TH ST STE 101
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73112-4415
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-844-5221
-----------------------------------------------------
Fax | 405-340-6926
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 5345
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------