Individual
AMANDA KAY CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
401 S 21ST ST, BLACKWELL, OK 74631-2437
(612) 467-6660
Mailing address
401 S 21ST ST, BLACKWELL, OK 74631-2437
(612) 467-6660
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
75100
OK
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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