Individual
KATHRYN ROSE WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 S FALCON AVE, CLAREMORE, OK 74019-2237
(183) 419-1000
Mailing address
9821 S 230TH EAST AVE, BROKEN ARROW, OK 74014-6852
(918) 949-5160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5166
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2021
Last updated
01/09/2024
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