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Individual

KAY B ROCHESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 SE 4TH ST, SUITE H, MOORE, OK 73160-7329
(405) 799-7400
Mailing address
1400 SE 4TH ST, SUITE H, MOORE, OK 73160-7329
(405) 799-7400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2081
OK
363AM0700X
Medical Physician Assistant
OK

Other

Enumeration date
01/10/2012
Last updated
05/25/2022
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