Individual
KIMALA CENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31870 E STATE HIGHWAY 51, COWETA, OK 74429-7900
(918) 279-3200
(918) 279-1101
Mailing address
PO BOX 400, OKMULGEE, OK 74447-0400
(918) 279-3200
(918) 279-1101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57637
OK
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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