Individual
MS. KAREN LYNN KISSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
4000 E CHARTER OAK RD, GUTHRIE, OK 73044-9263
(405) 282-4093
Mailing address
3950 E CHARTER OAK RD, GUTHRIE, OK 73044-9263
(405) 282-4093
(866) 941-8550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200382030A
—
OK
01
—
300201
CERTIFIED BEHAVIORAL HEALTH CASE MANAGER, LEVEL CM II
OK
Enumeration date
12/29/2010
Last updated
09/20/2024
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