Individual
MRS. KIMBERLY SUE HAMERNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2704 E 13TH PL, TULSA, OK 74104-4326
(918) 978-8935
Mailing address
2704 E 13TH PL, TULSA, OK 74104-4326
(918) 978-8935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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