Individual provider · NPI-1

Bernard Rukwaro Kabati

Registered Nurse, General Practice · Muskogee, OK

NPI number1134816333
StatusActive
Last updated in NPPESApr 19, 2023

Details

NPI
1134816333
Entity type
Individual (NPI-1)
Name
Bernard Rukwaro Kabati
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 19, 2023
Certification date
Apr 19, 2023
Last updated
Apr 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice909718TXYes

Practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone 952-228-3292

Mailing address

4461 Corner Brook Ln
Fort Worth, TX 76123-2733

Phone 952-228-3292

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