Individual
KIMBERLY DAWN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 607-5094
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
211013
OK
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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