Individual
KIMBERLY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 N HARRISON AVE, SHAWNEE, OK 74801-5206
(405) 424-7711
Mailing address
1708 WILDWOOD, SHAWNEE, OK 74804-1807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0133671
OK
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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