Individual
KIMBERLY CRIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
714 E MAIN ST, TISHOMINGO, OK 73460-2350
(580) 371-2002
(580) 371-2058
Mailing address
714 E MAIN ST, TISHOMINGO, OK 73460-2350
(580) 371-2002
(580) 371-2058
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
37D343460704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011510
TX HH
TX
01
—
7542
SO HH
OK
01
—
7767
WE HH
OK
Enumeration date
05/21/2014
Last updated
05/21/2014
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