Individual
MRS. ABIGAIL KELLY PETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-0601
(918) 766-4721
Mailing address
5210 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-0601
(918) 766-4721
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
I DON'T HAVE ANY
—
Enumeration date
07/07/2022
Last updated
07/07/2022
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