Individual
KYMBRYNN NICOLE O'DIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 OKLAHOMA AVE, MCALESTER, OK 74501-7520
(918) 423-4900
Mailing address
101 OKLAHOMA AVE, MCALESTER, OK 74501-7520
(918) 423-4900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200856
OK
Other
Enumeration date
01/22/2021
Last updated
02/09/2022
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