Individual
MRS. KIMBERLY A SPEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2254 W. ROGERS BLVD, SKIATOOK, OK 74070-3909
(918) 895-9353
(918) 895-9354
Mailing address
2254 W. ROGERS BLVD, SKIATOOK, OK 74070-3909
(918) 895-9353
(918) 895-9354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100405
OK
363LF0000X
Family Nurse Practitioner
45974
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200419730A
—
KS
Enumeration date
01/11/2007
Last updated
05/25/2016
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