KATHERYN NOEL VANDIVER

OKLAHOMA CITY, OK
NPI1235481771
Former NameKATHERYN NOEL KENEMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  88767)
Enumeration Date2012-10-08
Last Update Date2021-06-30
Business Address
KATHERYN NOEL VANDIVER APRN
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170-3437
Phone number: 405-691-1041
Mailing Address
KATHERYN NOEL VANDIVER APRN
2100 SW 119TH ST
OKLAHOMA CITY, OK 73170-3437
Phone number: 405-691-1041