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Search › Oklahoma › 163W00000X

Kyndal Moctezuma, RN

NPI 1710749635 · on the registry since 2024

Practice

Address
6111 E Skelly Dr
Tulsa, OK 74135
Phone
(918) 779-7216
Fax
(918) 663-0203
Organisation at this address
Hunter'S Grand Pharmacy, Llc
Grand Lake Mental Health Center Inc
Hunters Grand Clinical Analytics, Llc
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-25

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