Individual
MRS. STEPHANIE MARIE KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1001 CARSON DR, SEMINOLE, OK 74868-2210
(405) 382-5800
Mailing address
600 W STROTHERS AVE, SEMINOLE, OK 74868-3802
(405) 382-5085
(405) 382-8281
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R0137233
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0137233
NURSING LICENSE
OK
Enumeration date
01/13/2025
Last updated
01/13/2025
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