Byassee, Kylia

Byassee, Kylia is an individual health care provider with primary practice located at 1803 S Wood Dr , Okmulgee OK 74447-6825. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Byassee, Kylia can be contacted via phone (918) 756-9250.

Contact Information

Primary practice address
1803 S Wood Dr Okmulgee OK 74447-6825
Phone: (918) 756-9250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1134732613
LBN Legal business name Byassee, Kylia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2020
Last updated Aug 25th, 2020 - about 5 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 1134732613 NPPES
Oklahoma MEDICAID 73-1108774

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