Ketcen Of Tulsa Llc | |
9840 E 81st St Ste 100 Tulsa OK 74133-4583 | |
(918) 872-8162 | |
Not Available |
Full Name | Ketcen Of Tulsa Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 9840 E 81st St Ste 100, Tulsa, Oklahoma |
Authorized Official Name and Position | Kristy Phillips (DIRECTOR OF BUSINESS AFFAIRS) |
Authorized Official Contact | 9188939240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ketcen Of Tulsa Llc 10010 E 81st St Ste 100 Tulsa OK 74133-4558 Ph: () - | Ketcen Of Tulsa Llc 9840 E 81st St Ste 100 Tulsa OK 74133-4583 Ph: (918) 872-8162 |
NPI Number | 1902367618 |
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Provider Enumeration Date | 03/26/2019 |
Last Update Date | 03/26/2019 |
Identifier | Type | State | Issuer |
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1902367618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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