Individual
KATRINA WHITENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10929 W SHADY GROVE RD, HULBERT, OK 74441-7444
(918) 316-1733
Mailing address
PO BOX 317, HULBERT, OK 74441-0317
(918) 316-1733
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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