KIMBERLY MICHELL SCAGGS

ADA, OK
NPI1144077553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: OK  217660)
Enumeration Date2024-05-02
Last Update Date2024-05-02
Business Address
KIMBERLY MICHELL SCAGGS AGACNP
430 N MONTE VISTA ST
ADA, OK 74820-4657
Phone number: 580-332-2323
Mailing Address
KIMBERLY MICHELL SCAGGS AGACNP
5630 TRIPLE L RD
DAVIS, OK 73030-9486
Phone number: 580-618-2413
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