Deene Sue Kiddy

NPI #1861131567 in Westville, Oklahoma

Provider Information

NPI Number: 1861131567
Entity Type: Individual
Name: Deene Sue Kiddy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jun 1, 2022
Last Updated: Jun 1, 2022

Practice Location

Address: 500 W CHINCAPIN ST
Address 2: HWY 62
City: Westville
State: Oklahoma
ZIP Code: 74965
Phone: (918) 723-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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