Individual
KIMBERLIN STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1741 NE 47TH ST, OKLAHOMA CITY, OK 73111-6201
(405) 370-8936
Mailing address
1741 NE 47TH ST, OKLAHOMA CITY, OK 73111-6201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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