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Individual

MRS. KENDRA KAY GORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP-FAMILY

Contact information

Practice address
102 STARLITE DR, KINGFISHER, OK 73750-4944
(572) 200-8805
(405) 200-1071
Mailing address
102 STARLITE DR, KINGFISHER, OK 73750-4944
(572) 200-8805
(405) 200-1071

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99814
OK

Other

Enumeration date
06/12/2019
Last updated
02/17/2025
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