Individual
KENDRA LEANN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHCMII
Contact information
Practice address
111 MEADOW LN, POTEAU, OK 74953-5362
(615) 474-4429
Mailing address
111 MEADOW LN, POTEAU, OK 74953-5362
(615) 474-4429
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
05/15/2014
Last updated
05/18/2020
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