Individual
KIT GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 LENNOX AVE, SPENCER, OK 73084-4902
(405) 413-6881
Mailing address
5525 LENNOX AVE, SPENCER, OK 73084-4902
(405) 413-6881
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0034604
OK
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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