Individual
KYRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
11227 HOWARD DR, OKLAHOMA CITY, OK 73114-8500
(405) 693-9976
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R0127168
OK
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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