Individual
CHRISTINE LEANNE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6130 E 81ST ST, TULSA, OK 74137-2101
(918) 401-1002
Mailing address
6130 E 81ST ST, TULSA, OK 74137-2101
(918) 401-1002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214714
OK
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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