Individual
KIMBERLY ANN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Mailing address
2016 E DUKE AVE, STILLWATER, OK 74075-8290
(918) 448-3636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
206172
OK
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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