Individual
KASI HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 424-7711
Mailing address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 254-5322
(580) 254-5335
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
02/12/2020
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