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NPI Code Detail

MEDICARE: KIMBERLY KAYE REGENHARD APRN-CNP

MEDICARE: KIMBERLY KAYE REGENHARD APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner205778OK

General Provider Information

NPI Number : 1972268548
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY KAYE REGENHARD APRN-CNP
Provider Business Mailing Address
First Line : 9228 S MINGO RD STE 200
Second Line :
City : TULSA
State : OK
Zip : 74133-5722
Country : US
Telephone Number : 918-592-0999
Fax Number : 918-592-1021
Provider Business Practice Location Address
First Line : 9228 S MINGO RD STE 200
Second Line :
City : TULSA
State : OK
Zip : 74133-5722
Country : US
Telephone Number : 918-592-0999
Fax Number : 918-592-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2021
Last Update Date : 12/08/2022

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Directions to “ KIMBERLY KAYE REGENHARD APRN-CNP” Practice Location

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