Individual
MRS. HALEY KATHRYN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
160 E SW 59TH ST, MUSTANG, OK 73064-4722
(405) 397-2385
Mailing address
5704 LEDGESTONE DR, MUSTANG, OK 73064-7269
(405) 397-2385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211063
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NA
—
Enumeration date
12/14/2022
Last updated
12/14/2022
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