Individual
KODY SUMTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2448 E 81ST ST STE 5125, TULSA, OK 74137-4213
(918) 407-9809
Mailing address
2448 E 81ST ST STE 5125, TULSA, OK 74137-4213
(918) 407-9809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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