Individual
KRISTY RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 W CHOCTAW AVE, CHICKASHA, OK 73018-2310
(405) 222-0622
Mailing address
PO BOX 442, EAKLY, OK 73033-0442
(405) 687-1438
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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