Blair, Audra Kay

Blair, Audra Kay is an sole proprietor health care provider with primary practice located at 7824 Nw 83Rd St , Oklahoma City OK 73132-3305. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Blair, Audra Kay can be contacted via phone (405) 830-5732.

Contact Information

Primary practice address
7824 Nw 83Rd St Oklahoma City OK 73132-3305
Phone: (405) 830-5732
Fax: (405) 367-7635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1871831214
LBN Legal business name Blair, Audra Kay
Credentials BHCM II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2013
Last updated Feb 17th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871831214 NPPES
Oklahoma MEDICAID 200475600 A

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