Individual
KARLA KAYE NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5436
(580) 355-0232
Mailing address
9110 SW BASELINE RD, FAXON, OK 73540-4137
(580) 512-8520
(580) 355-0232
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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