Individual
KATHY SATAWAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RT. 1 BOX 35D, BOLEY, OK 74829
(918) 667-3367
(918) 667-3387
Mailing address
P.O. BOX 218, BOLEY, OK 74829
(918) 667-3367
(918) 667-3387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100685600D
—
OK
05
—
1006856600A
—
OK
Enumeration date
10/27/2016
Last updated
12/06/2016
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