Individual
KATHERINE VAN DYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3112 TERRACE PARK TRL, NORMAN, OK 73069-7586
(405) 625-4340
Mailing address
3112 TERRACE PARK TRL, NORMAN, OK 73069-7586
(405) 625-4340
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R0067691
OK
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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