Individual
WENDY SUE KROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 SW 16TH ST, MOORE, OK 73160-5324
(405) 249-9767
Mailing address
133 SW 16TH ST, MOORE, OK 73160-5324
(405) 249-9767
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTHER
OTHER
OK
Enumeration date
12/16/2021
Last updated
12/16/2021
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