Mary Kathleen Staley in Tulsa - Specialist
Mary Kathleen Staley - NPI 1104030113
Mary Kathleen Staley is a Specialist in Tulsa, Oklahoma. Mary Kathleen Staley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mary Kathleen Staley is 1104030113. The last update date is 2007-07-08.
Mary Kathleen Staley's current location address is 5117 E 25th St, Tulsa, Oklahoma. You can contact this provider via phone number 9187425187. The mailing address for Mary Kathleen Staley is 5117 E 25th St, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathleen Staley |
|---|---|
| Address | 5117 E 25th St, Tulsa, Oklahoma |
| Phone Number | 9187425187 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1104030113 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5117 E 25th St |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741143721 |
| Phone Number | 9187425187 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT1080 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mary Kathleen Staley by the Centers for Medicare & Medicaid Services?
The Mary Kathleen Staley has been assigned the NPI (National Provider Identifier) 1104030113 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Kathleen Staley's physical address?
The Mary Kathleen Staley is physically located at 5117 E 25Th St, in the city of Tulsa, OK, with the postal code 741143721.
What is Mary Kathleen Staley's area of expertise and its corresponding taxonomy classification?
The Mary Kathleen Staley's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104030113 to Mary Kathleen Staley?
The Centers for Medicare & Medicaid Services originally issued the 1104030113 to Mary Kathleen Staley on 2007-05-09.
As of what date were the details related to Mary Kathleen Staley most recently updated or revised?
The information pertaining to Mary Kathleen Staley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.