Individual
KALEY PIERATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19225 S 289TH WEST AVE, BRISTOW, OK 74010-2238
(918) 697-2813
Mailing address
19225 S 289TH WEST AVE, BRISTOW, OK 74010-2238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104870
OK
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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