Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberley Joye Hadrava

Individual provider Peer Specialist · NPI 1710710207

Kimberley Joye Hadrava is a Peer Specialist in Wagoner, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

215 NE 1st St
Wagoner, OK 74467-4439
Phone: (918) 201-4333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (OK)

Record details

NPI number1710710207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address215 Ne 1st St, Wagoner, OK 74467-4439

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