Provider Information for 1366789042
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Mrs. KAMERON KIMBERLY ANN HOMIER LCSW
Sex: Female
NPI: 1366789042
Last Updated: 2022-08-22
Certification Date: 2022-08-22
Certification Date: 2022-08-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1366789042 | ||||||||
| Enumeration Date | 2013-01-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3684 SIDE HILL CT NEWCASTLE, OK 73065-0080 United States Phone: 405-421-1921 | Fax: | ||||||||
| Primary Practice Address | 3684 SIDE HILL CT NEWCASTLE, OK 73065-0080 United States Phone: 405-421-1921 | Fax: | ||||||||
| Secondary Practice Address(es) | 14600 NW CORNELL RD | ||||||||
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