Individual
KYRA BOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
900 N PORTER AVE STE 208A, NORMAN, OK 73071-6485
(405) 579-1444
(405) 513-0337
Mailing address
900 N PORTER AVE STE 208A, NORMAN, OK 73071-6485
(405) 579-1444
(405) 513-0337
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
106258
OK
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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