Individual
KAREN FOURKILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., SLP-CCC
Contact information
Practice address
470658 E 850 RD, STILWELL, OK 74960-9391
(918) 696-7866
Mailing address
470658 E 850 RD, STILWELL, OK 74960-9391
(918) 696-7866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
864
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01111167
ASHA
OK
Enumeration date
10/06/2022
Last updated
10/06/2022
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