Kristin Diane Conkling, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

19804 Issued in OK

Practice address

5125 E 107TH PL
Tulsa, OK 74137-7236

Phone

(254) 718-8654

NPI assigned

Jun 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356544951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 E 107TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377236",
            "telephone_number": "254-718-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 E 107TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377236",
            "telephone_number": "254-718-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLING",
        "first_name": "KRISTIN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "19804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen David Confer, M.D.
• Confortamini in Sacrificio Tuo LLC
• Alan Lee Conger, PSY D
• Hannah Mackenzie Congleton
• Brandon Arthur Conkling, D.O.
• Brittany B Conley
• Sabrina Dawn Conley, PMHNP-BC
• Skyler Conley
• Emma Connally, LMSW-P
• Connect and Restore LLC

• Pediatric Adolescent Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pediatric Adolescent Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.