Individual
KRISTY KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5701 SE 74TH ST STE G, OKLAHOMA CITY, OK 73135-1104
(405) 610-1904
Mailing address
5701 SE 74TH ST STE G, OKLAHOMA CITY, OK 73135-1104
(405) 610-1904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1954
OK
Other
Enumeration date
02/11/2015
Last updated
10/30/2017
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