Individual
KIMI KA COKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 HILLCREST DR, SEMINOLE, OK 74868-5810
(405) 398-4848
Mailing address
139 HILLCREST DR, SEMINOLE, OK 74868-5810
(405) 398-4848
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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