Individual
KABRIA NICOLE PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217357
OK
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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