Individual
KIMBERLY WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 S VAN BUREN ST, ENID, OK 73703-7903
(580) 540-8965
Mailing address
41298 S COUNTY ROAD 266, RINGWOOD, OK 73768-6425
(405) 255-1337
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
05/09/2020
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