Individual
MISS KATHY LEA MESSIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHCM
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6463
(918) 342-6665
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6463
(918) 342-6665
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
04/01/2014
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