Individual
KIMBER MARIE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
315 W 9TH ST, WELEETKA, OK 74880-8117
(405) 786-2248
(405) 786-2006
Mailing address
15501 MULBERRY RD, HENRYETTA, OK 74437-8112
(405) 584-1071
(405) 786-2589
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
R0111358
OK
363LF0000X
Family Nurse Practitioner
Primary
R0111358
OK
Other
Enumeration date
02/05/2020
Last updated
08/20/2025
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