# MS. KAREN LYNN KISSICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508160821
- **Gender:** F
- **Credential:** CASE MANAGER

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | OK | Yes |

## Other

- **Enumeration date:** 12/29/2010
- **Last updated:** 09/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200382030A | — | OK |
| 01 | — | 300201 | CERTIFIED BEHAVIORAL HEALTH CASE MANAGER, LEVEL CM II | OK |