Individual
KAYLA A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6365 W OKMULGEE ST, MUSKOGEE, OK 74401-4595
(918) 687-1039
Mailing address
444741 E 954 RD, GORE, OK 74435-5156
(918) 650-2604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
70077
OK
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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