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Jennifer Lee Callaway, DO
Student in an Organized Health Care Education/Training Program in Tahlequah, Oklahoma
NPI 1619557964

Jennifer Lee Callaway is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Jennifer Lee Callaway practices in Tahlequah, OK and has the professional credentials of DO. The NPI Number for Jennifer Lee Callaway is 1619557964 and holds a License No. (Oklahoma).

The current practice location address for Jennifer Lee Callaway is 100 S Bliss Ave, Tahlequah, OK and can be reached out via phone at 918-458-3100.

Location: 100 S Bliss Ave, Tahlequah, OK, 74114-5105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619557964
Provider Name
Jennifer Lee Callaway
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
100 S Bliss Ave, Tahlequah, OK, 74114-5105
Phone Number
918-458-3100
Fax Number
Provider Enumeration Date
04/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3100
Fax Number
person
Provider Business Mailing Address Details
Address
100 S Bliss Ave
City
Tahlequah
State
Oklahoma
Zip
74464-2512
Phone Number
918-458-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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