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Individual

MRS. KIMBERLY ANNE CALHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP, MSN

Contact information

Practice address
705 SW 19TH ST STE 120, MOORE, OK 73160-3052
(405) 492-6799
(405) 595-0579
Mailing address
705 SW 19TH ST STE 120, MOORE, OK 73160-3052
(405) 492-6799
(405) 595-0579

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
82221
OK
363LF0000X
Family Nurse Practitioner
Primary
R0082221
OK

Other

Enumeration date
07/19/2018
Last updated
06/21/2022
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