Individual
KRISTEN DYAN COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 591-5762
Mailing address
1313 E 20TH ST, OKMULGEE, OK 74447-6303
(918) 591-5762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89068
OK
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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