Individual
KENSIE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
907 NW 5TH ST, STIGLER, OK 74462-1611
(918) 967-0055
Mailing address
PO BOX 82, KINTA, OK 74552-0082
(918) 315-6545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
206554
OK
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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