Kimberley Joye Hadrava

NPI #1710710207 in Wagoner, Oklahoma

Provider Information

NPI Number: 1710710207
Entity Type: Individual
Name: Kimberley Joye Hadrava
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Aug 21, 2024
Last Updated: Aug 21, 2024

Practice Location

Address: 215 NE 1ST ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4439
Phone: (918) 201-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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