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Individual

MRS. KENDRA JOY HURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
(918) 447-9308
Mailing address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
(918) 447-9308

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1434
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200088050A
OK
Enumeration date
07/09/2006
Last updated
09/26/2013
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