Individual
KIMBERLY SUE KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14890 SE 29TH ST, STE 106, CHOCTAW, OK 73020-3516
(405) 281-1027
(405) 281-1006
Mailing address
14890 SE 29TH ST, STE 106, CHOCTAW, OK 73020-3516
(405) 281-1027
(405) 281-1006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
67967
OK
Other
Enumeration date
07/15/2010
Last updated
10/12/2021
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