Individual
KYLIE DIANNA MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 348-5255
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 348-5255
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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