Individual
KRISTY MCKINNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
11313 N 165TH EAST AVE, OWASSO, OK 74055-5784
(918) 636-4286
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108311
OK
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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