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Individual

KATHY ANN BUSSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BS, PHN

Contact information

Practice address
1020 LENAPE DR, NOWATA, OK 74048-4403
(918) 273-7500
(918) 273-0194
Mailing address
10236 S 4090 RD, OOLOGAH, OK 74053-6262
(918) 273-7500
(918) 273-0194

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R0028274
OK

Other

Enumeration date
06/20/2017
Last updated
06/16/2018
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