Individual
KIMBERLY GALE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16305 E GRAND MEADOW DR., CLAREMORE, OK 74017
(918) 857-1478
Mailing address
PO BOX 1211, CLAREMORE, OK 74018-1211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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