Kambri Antwine, | |
9417 N Council Rd Ste 200, Oklahoma City, OK 73162-6228 | |
(405) 470-2590 | |
(405) 470-0619 |
Full Name | Kambri Antwine |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9417 N Council Rd Ste 200, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427470723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6080 (Oklahoma) | Primary |
Entity Name | Integris Ambulatory Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Mailing Address | Practice Location Address |
---|---|
Kambri Antwine, 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 Ph: (405) 470-2590 | Kambri Antwine, 9417 N Council Rd Ste 200, Oklahoma City, OK 73162-6228 Ph: (405) 470-2590 |
Nancy K. Wood, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4045 Nw 64th St, Suite 520, Oklahoma City, OK 73116 Phone: 405-842-4911 Fax: 405-842-5807 | |
Mrs. Kateri Suzanna Bohanan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 | |
Kathryn Knight, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139 Phone: 405-632-6688 Fax: 405-604-0708 | |
Nicole Denise Fleming, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Brianna Lamoso, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11220 N Rockwell Ave, Oklahoma City, OK 73162 Phone: 405-632-6688 | |
Mr. John Michael Cloud, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2617 General Pershing Blvd, Oklahoma City, OK 73107 Phone: 405-858-2770 | |
Sally Ray, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5009 N Pennsylvania Ave Ste 116, Oklahoma City, OK 73112 Phone: 405-204-6746 Fax: 405-879-2388 |