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Individual

MRS. LEAH JEAN KALM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104-5418
(405) 271-3016
Mailing address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104-5418
(405) 271-3016

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113490
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100708380
OK
05
200049040
OK
Enumeration date
09/14/2012
Last updated
10/14/2021
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