Individual
KERRIE PIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 24TH AVE NW, NORMAN, OK 73069-6496
(405) 763-8063
Mailing address
7010 S YALE AVE, TULSA, OK 74136-5713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194262832
—
OK
Enumeration date
01/19/2017
Last updated
04/15/2025
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