Ms Kenyonne Derrick, is a
Health & Wellness Coach based in Muskogee, Oklahoma. Ms Kenyonne Derrick is licensed to practice in Oklahoma (license number ) and her current practice location is
4009 Eufaula Ave, Muskogee, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 682-2841.
NPI number for Ms Kenyonne Derrick is 1932961711 and her current mailing address is 4009 Eufaula Ave, Muskogee, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932961711.
Healthcare Provider's Profile
Full Name | Ms Kenyonne Derrick |
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Gender | Female |
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Speciality | Health & Wellness Coach |
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Location | 4009 Eufaula Ave, Muskogee, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932961711
- Provider Enumeration Date: 01/26/2024
- Last Update Date: 01/26/2024
Medical Identifiers
Medical identifiers for Ms Kenyonne Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932961711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | (Oklahoma) | Secondary |
171400000X | Health & Wellness Coach | (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kenyonne Derrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kenyonne Derrick, 4009 Eufaula Ave, Muskogee, OK 74403-1132 Ph: (918) 682-2841 | Ms Kenyonne Derrick, 4009 Eufaula Ave, Muskogee, OK 74403-1132 Ph: (918) 682-2841 |
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