Individual
KIMBERLY GOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
705 S VIRGINIA AVE, BARTLESVILLE, OK 74003-4439
(844) 458-2100
Mailing address
7600 EW 6 RD, WANN, OK 74083-1043
(918) 440-1878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0064726
OK
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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