Individual
MRS. KENDRA ANN DICKSON REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
223 N SIOUX, SAND SPRINGS, OK 74063-7539
(918) 630-5453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L 0057263
OK
Other
Enumeration date
07/04/2014
Last updated
07/04/2014
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