Individual
KIM HISHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 SE 46TH ST, OKLAHOMA CITY, OK 73135-2014
(405) 361-6302
Mailing address
3825 SE 46TH ST, OKLAHOMA CITY, OK 73135-2014
(405) 361-6302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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