Kim Conover

NPI #1417235540 in Midwest City, Oklahoma

Provider Information

NPI Number: 1417235540
Entity Type: Individual
Name: Kim Conover
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 22, 2011
Last Updated: Jul 22, 2011

Practice Location

Address: 10417 FUTURITY DR
City: Midwest City
State: Oklahoma
ZIP Code: 73130-5731
Phone: (405) 209-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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