Individual
MISS KIMBERLY BROOKE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 NORTH THIRTY FIRST, CLINTON, OK 73601
(580) 323-6021
(580) 323-0828
Mailing address
132 MCKENZIE DR, WEATHERFORD, OK 73096-4327
(580) 772-2831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/02/2007
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