Individual
HEATHER MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PLAINVIEW DR, HULBERT, OK 74441-8910
(918) 570-5706
Mailing address
107 PLAINVIEW DR, HULBERT, OK 74441-8910
(918) 570-5706
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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