Doctor Name: | MRS. KIMBERLY A SPEAKS |
NPI Number: | 1437209723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 45974 |
Business Practice Address: | 2254 W. Rogers Blvd Skiatook, OK - 740703909 |
Business Phone Number: | 9188959353 |
Business Fax Number: | 9188959354 |
Mailing Address: | 2254 W. Rogers Blvd, SKIATOOK |
State: | OK |
Postal Code: | 740703909 |
Phone Number: | 9188959353 |
Fax Number: | 9188959354 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 45974 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |