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Khrystal Kay Humble, BA

Health Educator in Ponca City, OK. Individual provider (NPI-1).

NPI number1609207166
StatusActive
Last updated in NPPESDec 10, 2013

Details

NPI
1609207166
Entity type
Individual (NPI-1)
Name
Khrystal Kay Humble
Credential
BA
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 10, 2013
Last updated
Dec 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator157768OKYes

Practice location

508 E Fresno Ave
Ponca City, OK 74601-2817

Phone 580-767-9035 · Fax 580-762-1157

Mailing address

508 E Fresno Ave
Ponca City, OK 74601-2817

Phone 580-767-9035 · Fax 580-762-1157

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