Individual
MS. KAREN LAVON GREGORY
Active
Individual
MS. KAREN LAVON GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R71506
OK
363L00000X
Nurse Practitioner
R0071506
OK
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
725403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200113920A
—
OK
Enumeration date
09/21/2006
Last updated
01/12/2011
Update your record
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