Individual
MISS NANCY KIENKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-7194
(405) 737-3278
(405) 737-0240
Mailing address
8900 SE 15TH ST, MIDWEST CITY, OK 73110-8002
(405) 737-3278
(405) 737-0240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84132
OK
Other
Enumeration date
07/09/2014
Last updated
09/17/2020
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