Healthcare Provider Details
I. General information
NPI: 1033023890
Provider Name (Legal Business Name): SOONER WOUND SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7710 NW 10TH ST
OKLAHOMA CITY OK
73127-4413
US
IV. Provider business mailing address
7710 NW 10TH ST
OKLAHOMA CITY OK
73127-4413
US
V. Phone/Fax
- Phone: 405-658-4064
- Fax:
- Phone: 405-658-4064
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KATHERINE
COOPER
Title or Position: OWNER
Credential: APRN
Phone: 405-658-4064