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Individual

SHANNON LEI KIBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104
(918) 592-0999
(918) 592-1021
Mailing address
1265 S. UTICA AVE, SUITE 300, TULSA, OK 74104
(918) 592-0999
(918) 592-1021

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0069109
OK
363L00000X
Nurse Practitioner
Primary
69109
OK

Other

Enumeration date
08/13/2009
Last updated
05/04/2021
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