Individual
MR. KEVIN JAMES GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1301 N WEST ST, MCALESTER, OK 74501-2659
(918) 423-4700
Mailing address
1301 N WEST ST, MCALESTER, OK 74501-2659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200144
OK
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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