Individual
MISS KIMBERLY PAIGE SKILLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2882
(405) 858-2880
Mailing address
613 WESTRIDGE CT, YUKON, OK 73099-6731
(405) 210-6135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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