Individual
KATHY PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
RR 1 BOX 35D, BOLEY, OK 74829
(918) 667-3367
Mailing address
P. O. BOX 218, BOLEY, OK 74829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0076443
OK
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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