Individual
MRS. KATHLEEN ANN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
7303 S OAK PL, BROKEN ARROW, OK 74011-5804
(918) 449-8077
Mailing address
7303 S OAK PL, BROKEN ARROW, OK 74011-5804
(918) 449-8077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R0045554
OK
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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