Individual
KATHERINE QUEEN KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 S MEMORIAL DR STE 330, TULSA, OK 74145-9060
(918) 200-9830
(918) 601-8103
Mailing address
5840 S MEMORIAL DR STE 330, TULSA, OK 74145-9060
(918) 200-9830
(918) 601-8103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
J083742307
OK
251S00000X
Community/Behavioral Health Agency
—
OK
Other
Enumeration date
03/05/2025
Last updated
03/27/2026
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