Kylie Jo Detherage

  • 1407345879 NPI Number
  • |
  • Actived: 1 year ago
  • |
According to our database, NPI number for Kylie Jo Detherage is 1407345879 and actived since Tuesday, May 1 2018. Kylie Jo Detherage is an individual provider specializes in Case Manager/Care Coordinator, primary practice location is 111 S Treaty Rd, Miami, OK 74354. You can also contact Kylie Jo Detherage via telephone number is (918) 540-1511. Provider NPI information was last updated on 05/29/2018.

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Overview of Kylie Jo Detherage

  • NPI number: 1043855448
  • Provider type: Individual
  • Specialty: Case Manager/Care Coordinator
  • Gender: Female
  • Active since: 05/01/2018
  • Last updated: 05/29/2018

Primary Scrop of Practice

  • Taxonomy Code: 171M00000X
  • Specialty: Case Manager/Care Coordinator
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 111 S Treaty Rd
    Miami, OK 74354
  • Phone: 918-540-1511
  • Fax:

Provider Practice Location

  • Address: 111 S Treaty Rd
    Miami, OK 74354
  • Phone: 918-540-1511
  • Fax:

Scope of Practice

  • Taxonomy Code: 171M00000X
  • Specialty: Case Manager/Care Coordinator
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Kylie Jo Detherage?
  • A: The npi number for Kylie Jo Detherage is 1407345879.
  • Q: What are Kylie Jo Detherage's specialties?
  • A: Kylie Jo Detherage's specialties are Case Manager/Care Coordinator and different specialities.
  • Q: What is the medical license for Kylie Jo Detherage?
  • A: The medical license number for Kylie Jo Detherage is unknow and issued in unknow in USA.
  • Q: Where is Kylie Jo Detherage practice location?
  • A: Kylie Jo Detherage is practicing at 111 S Treaty Rd, Miami, OK 74354.
  • Q: How to contact Kylie Jo Detherage?
  • A: You can contact Kylie Jo Detherage via 918-540-1511.