MEDICARE: MS. KAREN GAIL KNAPP BA, CM

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1770593865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN GAIL KNAPP BA, CM

Provider Business Mailing Address
First Line	:	650 S PEORIA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74120-4429
Country	:	US
Telephone Number	:	918-587-9471
Fax Number	:	918-560-1399

Provider Business Practice Location Address
First Line	:	2325 S HARVARD AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74114-3300
Country	:	US
Telephone Number	:	918-712-4301
Fax Number	:	918-560-1399

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	03/14/2016

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