Individual
MS. KIEUHAN THERESA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3330 NW 56TH ST STE 208, OKLAHOMA CITY, OK 73112-4426
(405) 604-0688
(405) 604-0689
Mailing address
3366 NW EXPRESSWAY, SUITE 400, OKLAHOMA CITY, OK 73112-4462
(405) 702-1310
(405) 702-1281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APA2216
OK
Other
Enumeration date
01/29/2013
Last updated
04/26/2016
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