Individual
KIMBERLA RENEE NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 NE 17TH ST, OKLAHOMA CITY, OK 73111-1301
(405) 857-4362
Mailing address
1505 NE 17TH ST, OKLAHOMA CITY, OK 73111-1301
(405) 857-4362
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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