Individual
KIMBERLY K CREEKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
125 W EVERGREEN ST, SKIATOOK, OK 74070-2361
(580) 317-5932
Mailing address
125 W EVERGREEN ST, SKIATOOK, OK 74070-2361
(580) 317-5932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1096
OK
Other
Enumeration date
04/27/2007
Last updated
01/18/2015
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