Individual
KISH ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 COMMERCE, YUKON, OK 73099-2236
(757) 912-6858
Mailing address
1702 WARREN DR APT 4, MIDWEST CITY, OK 73110-2868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
11/17/2025
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