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Individual

MRS. REBECCA A KIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
1024 LENAPE DRIVE, NOWATA, OK 74048
(918) 273-7500
Mailing address
5617 EAST CIR, BARTLESVILLE, OK 74006-7000
(918) 273-7500
(918) 273-7449

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0079001
OK

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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