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Contact Information

TYSHA A KING, MSN- CRNA
7191 S YALE AVENUE
TULSA, OK74136-6326
 Phone: 865-777-0909
 Fax: 865-777-0910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TYSHA A KING · (Female)

NPI # 1568500957
Status Active
Credentials MSN- CRNA
Entity Individual
Enumeration date 02/01/2007
Last updated 02/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001015678
  • MO License # 2001015978
  • OK License # 0090574
  • OK License # 90574
  • AR Medicaid 159877001
  • MO Medicaid 917262602
  • OK Medicaid 200125380A
  • AR Other 159877001 ARK BLUE SHIELD
  • MO Other 175118 MO BLUE SHIELD
  • OK Other 621867095001 BLUE CROSS/BLUE SHIELD
  • OK Other 900522349 MEDCIARE GROUP PIN
  • OK Other P00632204 RAILROAD MEDICARE
Hospital affiliation(s)
  • HILLCREST MEDICAL CENTER - (Acute Care)
    1120 SOUTH UTICA AVENUE
    TULSA, OK 74104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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