Individual
KIMBERLEY LEOPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
12327 S 134TH ST W, OKTAHA, OK 74450-1902
(918) 913-2073
Mailing address
12327 S 134TH ST W, OKTAHA, OK 74450-1902
(918) 913-2073
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0044991
OK
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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