Individual
LINDA KAY WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1214 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3717
(405) 239-6815
(405) 239-2637
Mailing address
30901 MEMORIAL RD, MCLOUD, OK 74851-9118
(405) 816-8876
(405) 239-2637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0045138
OK
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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