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Individual

KIMBERLY K CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501
(918) 423-2220
(918) 423-2620
Mailing address
230 PRIVATE ROAD 3563, BALLINGER, TX 76821-7633
(325) 977-1064

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200869690A
OK
Enumeration date
09/09/2008
Last updated
11/07/2019
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