Individual
KERRI TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9800 BROADWAY EXT, OKLAHOMA CITY, OK 73114-6303
(405) 419-2980
Mailing address
9800 BROADWAY EXT, OKLAHOMA CITY, OK 73114-6303
(405) 419-2980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0093095
OK
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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