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Individual

KAYTI MOXLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
122 E GRAND AVE, PONCA CITY, OK 74601-5205
(580) 302-8270
(580) 749-5682
Mailing address
212 N MAIN ST, FAIRFAX, OK 74637-3023
(918) 642-3100
(918) 642-5639

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0058951
OK

Other

Enumeration date
04/30/2014
Last updated
11/24/2025
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