Individual
KIMBERLY DAWN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9726 E 42ND ST STE 142, TULSA, OK 74146-3626
(405) 919-8781
Mailing address
2252 S 96TH EAST AVE, TULSA, OK 74129-3926
(539) 292-3577
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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