Individual
KACEY TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
609 N VILLAGE AVE, BROKEN ARROW, OK 74012-2914
(918) 378-3577
Mailing address
609 N VILLAGE AVE, BROKEN ARROW, OK 74012-2914
(918) 378-3577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0078782
OK
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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