Individual
KADILYN HOURIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2368
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368
LICENSE
OK
Enumeration date
01/21/2014
Last updated
01/21/2014
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