MEDICARE: STEVE KRUMM IHS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	586	OK

General Provider Information

NPI Number	:	1154026870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE KRUMM IHS

Provider Business Mailing Address
First Line	:	6550 E 71ST ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2767
Country	:	US
Telephone Number	:	918-388-6644
Fax Number	:	918-388-6645

Provider Business Practice Location Address
First Line	:	6550 E 71ST ST STE 101
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2767
Country	:	US
Telephone Number	:	918-388-6644
Fax Number	:	918-388-6645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	04/03/2023

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