Individual
ANDREA ALYSSA KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
Mailing address
703 E WINSTON CIR, BROKEN ARROW, OK 74011-7272
(918) 814-1944
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
06/08/2023
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