Individual
KANDUS KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1960 HARPER ST, CHOCTAW, OK 73020-8095
(405) 585-2971
Mailing address
1008 N PESOTUM AVE, SHAWNEE, OK 74801-6455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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