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Individual

KRISTY J YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-8066
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-8066

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0075812
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100784020B
OK
Enumeration date
06/27/2006
Last updated
10/07/2022
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