Individual
KAYLA SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4705 S 129TH EAST AVE, TULSA, OK 74134-7005
(918) 994-3471
Mailing address
4715 E 23RD ST, TULSA, OK 74114-3640
(918) 520-9575
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R0108424
OK
363LF0000X
Family Nurse Practitioner
Primary
206752
OK
Other
Enumeration date
01/02/2022
Last updated
03/11/2022
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