Provider Demographics
NPI:1215477435
Name:KRIEGSMAN, REBEKAH JEAN MARTIN (DO)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JEAN MARTIN
Last Name:KRIEGSMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:JEAN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:918-499-4855
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:350 S 40TH ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4915
Practice Address - Country:US
Practice Address - Phone:918-684-2663
Practice Address - Fax:918-681-6804
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine