Individual
MR. JORDON LEIGH KLIEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, DEPARTMENT OF ANESTHESIOLOGY, OKLAHOMA CITY, OK 73126-1039
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0101050
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
101050
OK
Other
Enumeration date
07/18/2017
Last updated
07/25/2019
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