Individual
MRS. KIMBERLY R WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 NW 63RD ST, SUITE 301, OKLAHOMA CITY, OK 73116-7907
(405) 418-3858
Mailing address
301 NW 63RD ST, SUITE 301, OKLAHOMA CITY, OK 73116-7907
(405) 418-3858
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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