Anderson, Kashia Nicole
Anderson, Kashia Nicole is an individual health care provider with primary practice located at 107 S High St , Antlers OK 74523-3818. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Anderson, Kashia Nicole can be contacted via phone (580) 298-2830.Contact Information
Primary practice address
107 S High St
Antlers OK 74523-3818
Phone: (580) 298-2830
Fax: (580) 298-6723
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1609126903 |
---|---|
LBN Legal business name | Anderson, Kashia Nicole |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2012 |
Last updated | Jun 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609126903 | NPPES |
Oklahoma | MEDICAID | 200512580A |
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