Individual
KAYLA J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
701 E MAIN ST, JENKS, OK 74037-4316
(918) 298-2264
(918) 298-0923
Mailing address
701 E MAIN ST, JENKS, OK 74037-4316
(918) 298-2264
(918) 298-0923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106781
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200668950A
—
OK
Enumeration date
08/02/2016
Last updated
12/04/2018
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