Individual
KIMBERLY TENNILLE FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2100
Mailing address
12203 E FRANKLIN RD, NORMAN, OK 73026-8428
(405) 428-0604
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
87098
OK
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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