Individual
MRS. KATHLEEN RENE DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,RN
Contact information
Practice address
1407 E MAIN ST UNIT B, STIGLER, OK 74462-2910
(918) 443-0200
Mailing address
PO BOX 52, STIGLER, OK 74462-0052
(918) 443-0200
(918) 552-9185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210675
OK
363LF0000X
Family Nurse Practitioner
222251
AR
Other
Enumeration date
10/29/2008
Last updated
11/04/2024
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