=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336194950
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KALPNA KAUL MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/23/2006
-----------------------------------------------------
Last Update Date | 06/25/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 SW 89TH STREET SUITE D 300
-----------------------------------------------------
City | OKLAHOMA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73159-6384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-682-4489
-----------------------------------------------------
Fax | 405-682-4418
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1601 SW 89TH STREET SUITE D 300
-----------------------------------------------------
City | OKLAHOMA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73159-6384
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-682-4489
-----------------------------------------------------
Fax | 405-682-4418
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 11968
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------