Individual
KIA C MATHEWS
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
226 W HOBSON AVE, SAPULPA, OK 74066-3926
(918) 924-3902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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