Individual
KRISTE JO BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W OLNEY ST, CHOUTEAU, OK 74337-0922
(918) 431-2000
Mailing address
PO BOX 922, CHOUTEAU, OK 74337-0922
(918) 431-2000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
83407
OK
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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