Individual
KRISTY ELAINE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 E RIVERBEND, CUSHING, OK 74023-5770
(918) 399-0084
Mailing address
3810 E RIVERBEND, CUSHING, OK 74023-5770
(918) 399-0084
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/14/2021
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