Provider Demographics
NPI:1760211775
Name:KEPFORD, CAROL A (DNP, APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:KEPFORD
Suffix:
Gender:F
Credentials:DNP, APRN-CNP
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:A
Other - Last Name:ISERNHAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3018 BROOKHOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-5224
Mailing Address - Country:US
Mailing Address - Phone:405-990-1060
Mailing Address - Fax:
Practice Address - Street 1:3400 NW EXPRESSWAY STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4491
Practice Address - Country:US
Practice Address - Phone:405-713-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK219507207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology