Individual
KAYLYN NICOLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
Mailing address
902 E LINCOLN RD, IDABEL, OK 74745-7337
(580) 286-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213042
OK
Other
Enumeration date
06/05/2023
Last updated
08/02/2023
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