Individual
KATHERINE ANNE HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
859 E MELTON DR, JAY, OK 74346-2704
(918) 253-1738
Mailing address
859 E MELTON DR, JAY, OK 74346-2704
(918) 253-1738
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
82883
OK
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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