Individual
KREE CHALLA PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 SIMCO PL, SHAWNEE, OK 74804-2294
(405) 885-1921
Mailing address
2808 SIMCO PL, SHAWNEE, OK 74804-2294
(405) 885-1921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
10/21/2025
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