KIMMIE PHISAIWATH

OKLAHOMA CITY, OK
NPI1639662216
Former NamePHUONG NGUYEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  R009993)
Enumeration Date2018-06-08
Last Update Date2024-11-15
Business Address
KIMMIE PHISAIWATH APRN-CNP
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120-8382
Phone number: 405-608-3855
Mailing Address
KIMMIE PHISAIWATH APRN-CNP
7800 NW 85TH TER
OKLAHOMA CITY, OK 73132-3385
Phone number:
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