Individual
KAY MINKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29836 MARY STREET, GOLD BEACH, OR 97444
(541) 373-8001
Mailing address
PO BOX 978, GOLD BEACH, OR 97444-0978
(541) 373-8001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
10/20/2016
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