Individual
KIERNIN A LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N ASPEN AVE, BROKEN ARROW, OK 74012-1490
(918) 505-7575
(918) 505-7375
Mailing address
19704 S 43RD WEST PL, MOUNDS, OK 74047-5473
(918) 671-6083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
OK
Other
Enumeration date
06/27/2025
Last updated
06/30/2025
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