Individual
KATHERINE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 S NYSSA AVE, BROKEN ARROW, OK 74012-7678
(918) 706-0669
Mailing address
3016 S NYSSA AVE, BROKEN ARROW, OK 74012-7678
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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