Individual
KIMBERLY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6611
(405) 235-5671
Mailing address
69 KIMBERLY DR, EDMOND, OK 73003-2377
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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