Individual
KIMLEY DENISE ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.,BHRS
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-8471
Mailing address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
09/08/2011
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