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Kylie Shockley

NPI 1982141669 · on the registry since 2017

Practice

Address
111 W Delaware Ave
Nowata, OK 74048
Phone
(918) 273-1841
Fax
(918) 273-1843
Clinicians at this address
21

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma