Provider Information for 1093328346
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Ms. KATHRYN GLOVER BISHOP
Sex: Female
NPI: 1093328346
Last Updated: 2020-08-26
Certification Date: 2020-08-26
Certification Date: 2020-08-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1093328346 | ||||||||
| Enumeration Date | 2020-08-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5921 E 97TH ST TULSA, OK 74137-5011 United States Phone: 918-852-5220 | Fax:866-648-9795 | ||||||||
| Primary Practice Address | 5921 E 97TH ST TULSA, OK 74137-5011 United States Phone: 918-852-5220 | Fax:866-648-9795 | ||||||||
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