Individual
MRS. KEIYONNA FAYELIN BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6703 E 81ST ST STE E, TULSA, OK 74133-4157
(918) 494-0929
Mailing address
9905 S 236TH EAST AVE, BROKEN ARROW, OK 74014-6862
(918) 944-9784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215765
OK
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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