Individual
KIAMITA R NATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 S CENTRAL AVE, IDABEL, OK 74745-6061
(580) 245-7101
Mailing address
309 LUKFATA ST, BROKEN BOW, OK 74728-3307
(405) 514-1481
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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