Individual
KIMBERLY JUNE REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N WESTERN AVE, TISHOMINGO, OK 73460-4824
(580) 371-9300
Mailing address
1301 E LINCOLN RD, IDABEL, OK 74745-7300
(580) 208-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
200092
OK
Other
Enumeration date
02/27/2021
Last updated
10/20/2021
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