| Kori Zibell Pllc | |
|
2529 S Kelly Ave C Edmond OK 73013-2966 | |
| (405) 850-5860 | |
| (405) 562-1975 |
| Full Name | Kori Zibell Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2529 S Kelly Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Kori Zibell (OWNER) |
| Authorized Official Contact | 4058505860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kori Zibell Pllc 2529 S Kelly Ave C Edmond OK 73013-2966 Ph: () - | Kori Zibell Pllc 2529 S Kelly Ave C Edmond OK 73013-2966 Ph: (405) 850-5860 |
| NPI Number | 1437548930 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437548930 | NPI | - | NPPES |
| 200437270A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1013 (Oklahoma) | Primary |
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