Individual
KIMBERLY NOELLE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
4411 W GORE BLVD STE A, LAWTON, OK 73505-6016
(580) 699-8383
(580) 699-8381
Mailing address
4411 W GORE BLVD STE A, LAWTON, OK 73505-6016
(580) 699-8383
(580) 699-8381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110373
OK
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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