Individual
KIMBERLY IRETTA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1703 EVERGLADE CT, OKLAHOMA CITY, OK 73128-7009
(918) 525-7377
Mailing address
1703 EVERGLADE CT, OKLAHOMA CITY, OK 73128-7009
(918) 525-7377
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP053468
AZ
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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