Individual
KIMBRE DIANE DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
325 PEGGY DR, ELK CITY, OK 73644-1243
(580) 225-4557
Mailing address
325 PEGGY DR, ELK CITY, OK 73644-1243
(580) 225-4557
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
306
OK
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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