Individual
QUANAH LEALAN KARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 NW MADISCHE RD, LAWTON, OK 73507-1221
(580) 492-3614
(580) 492-5029
Mailing address
PO BOX 908, LAWTON, OK 73502-0908
(580) 492-3614
(580) 492-5029
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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