Individual
KIMBERLY ANNE BEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6202 E 61ST ST, TULSA, OK 74136-2119
(918) 477-7171
(918) 477-7171
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
(580) 795-7307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2836
OK
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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