Provider Demographics
NPI:1346800620
Name:KASALIKA, FELIX PETER (RN)
Entity type:Individual
Prefix:MR
First Name:FELIX
Middle Name:PETER
Last Name:KASALIKA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:NA
Other - Middle Name:NA
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NA
Mailing Address - Street 1:5350 E 46TH ST STE 121
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6601
Mailing Address - Country:US
Mailing Address - Phone:918-236-6594
Mailing Address - Fax:866-214-7025
Practice Address - Street 1:5350 E 46TH ST STE 121
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6601
Practice Address - Country:US
Practice Address - Phone:918-236-6594
Practice Address - Fax:866-214-7025
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK94090163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator