Individual
KIMBERLY PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
19900 SE 149TH ST, NEWALLA, OK 74857-5310
(505) 718-2176
Mailing address
19900 SE 149TH ST, NEWALLA, OK 74857-5310
(505) 718-2176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0127249
OK
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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