| NPI | 1639307481 |
|---|---|
| Former Legal Business Name | KIMBERLY M. HENNAN, MD, PC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M WEAVER Owner 580-470-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 24587) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2016-11-16 |