Individual
MRS. KATHY SUE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13 HILLCREST DR, PONCA CITY, OK 74604-4808
(580) 765-1777
Mailing address
1206 S MONROE ST, ENID, OK 73701-7310
(580) 242-3437
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0026399
OK
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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