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Individual

KRISTY M SMOTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2149 ED F DAVIS RD, DURANT, OK 74701-3085
(580) 931-8180
(580) 931-8015
Mailing address
2149 ED F DAVIS RD, DURANT, OK 74701-3085
(580) 931-8180
(580) 931-8015

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0062038
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200060820A
OK
Enumeration date
01/06/2006
Last updated
01/16/2024
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