Individual
DENISE K KUYKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(580) 286-5184
(580) 286-5185
Mailing address
17 S CENTRAL AVE, IDABEL, OK 74745-4625
(580) 286-5184
(580) 286-5185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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