Organization
ONESOURCE PRACTITIONERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BRYAN (OWNER / NURSE PRACTITIONER)
(405) 919-7345
Entity
Organization
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
Mailing address
510 E MEMORIAL RD STE D4, OKLAHOMA CITY, OK 73114-2218
(405) 227-9440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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