MEDICARE: BROOKLYN P GOKEY RN

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	163WD0400X	Diabetes Educator Registered Nurse	R0131999	OK

General Provider Information

NPI Number	:	1740934702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKLYN P GOKEY RN

Provider Business Mailing Address
First Line	:	4444 E 41ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2527
Country	:	US
Telephone Number	:	918-619-4800
Fax Number	:	918-619-4801

Provider Business Practice Location Address
First Line	:	4444 E 41ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2527
Country	:	US
Telephone Number	:	918-619-4800
Fax Number	:	918-619-4801

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

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	02/09/2022

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Directions to “ BROOKLYN P GOKEY RN” Practice Location

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