Individual
KRISTIE PRICE-SISSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
948 W HEFNER RD, OKLAHOMA CITY, OK 73114-6927
(580) 334-0558
Mailing address
631 SW 37TH ST, MOORE, OK 73160-7746
(580) 334-0558
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0052210
OK
Other
Enumeration date
12/02/2020
Last updated
05/26/2021
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