Individual
KENNETH BRIAN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
550 W SHAWNEE ST, MUSKOGEE, OK 74401-4144
(918) 910-5186
Mailing address
31349 W COUNTY ROAD 1235, QUINTON, OK 74561-1012
(918) 232-3159
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
77838
OK
363LF0000X
Family Nurse Practitioner
Primary
205720
OK
Other
Enumeration date
01/05/2017
Last updated
10/11/2021
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