NPI 1417235540

Kim Conover

Practitioner Contractor Midwest City, OK

Practice location

Address: 10417 Futurity Dr, Midwest City, OK 73130-5731
Phone: (405) 209-7415

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1417235540
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2011
Record last updated: 22 Jul 2011

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.