Kimberley Diane Jarvis

NPI #1396496899 in Prague, Oklahoma

Provider Information

NPI Number: 1396496899
Entity Type: Individual
Name: Kimberley Diane Jarvis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 16, 2022
Last Updated: Jan 16, 2022

Practice Location

Address: 11637 NS 3580 RD
City: Prague
State: Oklahoma
ZIP Code: 74864-6479
Phone: (405) 812-8898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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