Individual
KURT LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3863
Mailing address
1603 TIGER RD, FORT GIBSON, OK 74434-7716
(918) 869-7922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0079479
OK
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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