Individual
KATHRYNE N ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 945-6215
Mailing address
4720 N STEANSON DR, OKLAHOMA CITY, OK 73112-8247
(405) 738-9183
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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