Individual
KEETRA KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 W PALM PL, OKLAHOMA CITY, OK 73128-7006
(405) 754-9343
Mailing address
1731 W PALM PL, OKLAHOMA CITY, OK 73128-7006
(405) 754-9343
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OK
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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