Individual
KORTNEY MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
Mailing address
610 E 24TH ST, TISHOMINGO, OK 73460-3245
(580) 371-2343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227288
OK
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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