Individual
DR. KIMBERLY M SCAFFETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD.
Contact information
Practice address
2017 S ELM PL, SUITE 107, BROKEN ARROW, OK 74012-7034
(918) 451-3277
(918) 455-3891
Mailing address
2017 S ELM PL, SUITE 107, BROKEN ARROW, OK 74012-7034
(918) 451-3277
(918) 455-3891
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
267
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100670480
—
OK
Enumeration date
06/28/2006
Last updated
02/19/2008
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