Individual
PENNY KUMROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC,RLC
Contact information
Practice address
2212 W NASHVILLE ST, BROKEN ARROW, OK 74012-4723
(918) 251-9007
Mailing address
2212 W NASHVILLE ST, BROKEN ARROW, OK 74012-4723
(918) 251-9007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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