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Kisha Marie Farrell, APRNFNP-BC
Family Nurse Practitioner in Hominy, Oklahoma
NPI 1104199470

Kisha Marie Farrell is a Family Nurse Practitioner based in Fairfax, OK and is specialized in Family. Kisha Marie Farrell practices in Hominy, OK and has the professional credentials of APRNFNP-BC. The NPI Number for Kisha Marie Farrell is 1104199470 and holds a License No. 72827 (Oklahoma).

The current practice location address for Kisha Marie Farrell is 119 W Main St, Hominy, OK and can be reached out via phone at 918-885-4640 and via fax at 918-885-4644.

Location: 119 W Main St, Hominy, OK, 74637-3023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104199470
Provider Name
Kisha Marie Farrell
Credential
APRNFNP-BC
Provider Entity Type
Individual
Gender
Female
Address
119 W Main St, Hominy, OK, 74637-3023
Phone Number
918-885-4640
Fax Number
918-885-4644
Provider Enumeration Date
02/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200418760A 05 OK
institution
Provider Business Practice Location Address Details
Address
119 W Main St
City
Hominy
State
Oklahoma
Zip
74035-1031
Phone Number
918-885-4640
Fax Number
918-885-4644
person
Provider Business Mailing Address Details
Address
119 W Main St
City
Hominy
State
Oklahoma
Zip
74035-1031
Phone Number
918-885-4640
Fax Number
918-885-4644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
72827 (Oklahoma)
Definition
Definition to come...
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