MEDICARE: MRS. KAREN KAYE CARAWAY ARNP

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	363L00000X	Nurse Practitioner	R0022673	OK

General Provider Information

NPI Number	:	1821177908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN KAYE CARAWAY ARNP

Provider Business Mailing Address
First Line	:	315 S UTICA AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-2203
Country	:	US
Telephone Number	:	918-582-9355
Fax Number	:	918-594-4889

Provider Business Practice Location Address
First Line	:	5051 S 129TH EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74134-7004
Country	:	US
Telephone Number	:	918-582-9355
Fax Number	:	918-594-4889

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/09/2007

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