Individual
KATHY DAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 VITEO GUEST AVE, CHECOTAH, OK 74426-2612
(918) 329-9140
Mailing address
PO BOX 534, CHECOTAH, OK 74426-0534
(405) 633-8557
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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