Individual
KYLEE CHEYENNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4636 S HARVARD AVE, TULSA, OK 74135-2908
(918) 382-7300
Mailing address
1902 E ST SW, MIAMI, OK 74354-8708
(918) 961-8214
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68361
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28044
NATIVE HEALTH
—
Enumeration date
02/15/2018
Last updated
02/15/2018
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