Individual
KIMBERLEY CHAFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12050 HIGHWAY 51, TAHLEQUAH, OK 74464-1213
(918) 207-7580
Mailing address
12050 HIGHWAY 51, TAHLEQUAH, OK 74464-1213
(918) 207-7580
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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