Individual
DR. KIMBERLY DAWN DUROSSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3505 CHANDLER RD, MUSKOGEE, OK 74403-4911
(918) 880-3937
(918) 539-0030
Mailing address
3505 CHANDLER RD, MUSKOGEE, OK 74403-4911
(918) 880-3937
(918) 539-0030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2359
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006780A
—
OK
Enumeration date
06/26/2006
Last updated
03/13/2025
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