Individual
MRS. KIMBERLY KAYE MULANAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
403 REDBUD LN, CHELSEA, OK 74016-1453
(918) 789-3146
(918) 789-5650
Mailing address
403 REDBUD LN, CHELSEA, OK 74016-1453
(918) 789-3146
(918) 789-5650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0072394
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R0072394
OK
Other
Enumeration date
11/21/2006
Last updated
01/07/2011
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