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Individual

MS. KAYLA JOI ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Contact information

Practice address
12620 S MEMORIAL DR, BIXBY, OK 74008-2676
(918) 574-0150
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
110127
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
110127
OK

Other

Enumeration date
06/04/2018
Last updated
09/02/2021
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