Individual
KIMBERLY ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 STRAIGHT ST, FORT GIBSON, OK 74434-8260
(918) 568-5715
Mailing address
720 STRAIGHT ST, FORT GIBSON, OK 74434-8260
(918) 568-5715
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60013
OK
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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