Individual
KRISTIE MAE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
109 W 6TH ST, OKMULGEE, OK 74447-5015
(918) 779-0709
(918) 758-1358
Mailing address
109 W 6TH ST, OKMULGEE, OK 74447-5015
(918) 779-0709
(918) 758-1358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73179
OK
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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