Individual
KYLIE FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S TREATY RD, MIAMI, OK 74354-5326
(918) 540-1511
(918) 542-7374
Mailing address
114 W DELAWARE AVE, NOWATA, OK 74048-2601
(918) 273-1841
(918) 273-1843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
119027
TX
225X00000X
Occupational Therapist
Primary
2018006030
MO
225X00000X
Occupational Therapist
398148
OR
Other
Enumeration date
01/11/2013
Last updated
12/10/2019
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