Childress, Kyler

Childress, Kyler is an sole proprietor health care provider with primary practice located at 1893 South Wood Dr , Okmulgee OK 74447. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Childress, Kyler can be contacted via phone (918) 282-6444.

Contact Information

Primary practice address
1893 South Wood Dr Okmulgee OK 74447
Phone: (918) 282-6444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1497402366
LBN Legal business name Childress, Kyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2022
Last updated Apr 18th, 2022 - 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.

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