Individual
KATHRYN NICOLE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3409 S BROADWAY STE 801, EDMOND, OK 73013-4129
(405) 515-9355
Mailing address
157 STONEBRIDGE BLVD APT 2232, EDMOND, OK 73013-4775
(806) 717-0977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4313
OK
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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