Individual
KIMBERLY LASHA RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2026 E 1ST ST, TULSA, OK 74104-1407
(918) 406-8695
Mailing address
2026 E 1ST ST, TULSA, OK 74104-1407
(918) 406-8695
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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