Individual
BROOKE KHEZRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4700
Mailing address
11613 N ROSS AVE, OKLAHOMA CITY, OK 73120-6514
(918) 606-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118871
OK
207L00000X
Anesthesiology Physician
Primary
211279
OK
Other
Enumeration date
10/03/2022
Last updated
02/19/2023
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