Individual
MS. SANDRA KAY HARRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3400 S.E. FRANK PHILLIPS, STE 502, BARTLESVILLE, OK 74006-2495
(918) 331-2577
(918) 331-2513
Mailing address
3400 S.E. FRANK PHILLIPS, STE 502, BARTLESVILLE, OK 74006-2495
(918) 331-2577
(918) 331-2513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-00323
KS
363A00000X
Physician Assistant
1500323
KS
363A00000X
Physician Assistant
Primary
989
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10003240C
—
KS
05
—
100193360A
—
OK
Enumeration date
04/10/2006
Last updated
11/04/2011
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