NPI 1366080830

Kimmy Renea Breckenridge, LPN

Practitioner Licensed Vocational Nurse Lawton, OK

Practice location

Address: 5304 SW Tyler Ave, Lawton, OK 73505-5750
Phone: (580) 351-8520

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 70881 (OK)

Other Licensed Vocational Nurse providers in Oklahoma →

Registry record

NPI: 1366080830
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2019
Record last updated: 16 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.