Individual
KANDIS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
346761 E 810 RD, AGRA, OK 74824-6359
(775) 934-4724
Mailing address
346761 E 810 RD, AGRA, OK 74824-6359
(775) 934-4724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209627
OK
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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