Individual
KIMBERLY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
Mailing address
1609 N FORDSON DR, OKLAHOMA CITY, OK 73127-3235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79767
OK
Other
Enumeration date
01/24/2018
Last updated
12/15/2020
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