Individual provider · Type 1 NPI

Myra Bess McKiddy, R.N.

Diabetes Educator Registered Nurse · Shawnee, OK

NPI number 1174552095 Active

Practice location

2307 South Gordon Cooper Drive, Citizen Potawatomi Nation/firelake Wellness Center
Shawnee, OK 74801

Fax (405) 395-9305

Mailing address

P.o. Box 218, Highway # 9
Tecumseh, OK 74873-0218

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X48859 (OK)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1174552095

Myra Bess McKiddy, R.N.'s National Provider Identifier is 1174552095, issued on Jul 2, 2006. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Shawnee, OK. The record was last updated on Jul 8, 2007.