Individual
KATHY SPEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-1000
Mailing address
1804 DERAIL ST, YUKON, OK 73099-3538
(405) 413-4689
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
100046
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100046
OKLAHOMA BOARD OF NURSING
OK
01
—
F06172129
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
09/21/2017
Last updated
09/21/2017
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