| Kys | |
|
116 Se Ave N Idabel OK 74745-5234 | |
| (580) 286-6671 | |
| (580) 286-5747 |
| Full Name | Kys |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 116 Se Ave N, Idabel, Oklahoma |
| Authorized Official Name and Position | Pamela Ranae Griffin-rambo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802866671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kys 1804 Colorado St Idabel OK 74745-7909 Ph: (580) 286-6671 | Kys 116 Se Ave N Idabel OK 74745-5234 Ph: (580) 286-6671 |
| NPI Number | 1861704652 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861704652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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