Deatherage, Katherine

Deatherage, Katherine is an individual health care provider with primary practice located at 1200 W 4Th St Ste. D, Tahlequah OK 74464-5013. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Deatherage, Katherine can be contacted via phone (918) 485-0113.

Contact Information

Primary practice address
1200 W 4Th St Ste. D Tahlequah OK 74464-5013
Phone: (918) 485-0113
Fax: (918) 458-0075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 37V064210311 Oklahoma

Profile Details

NPI number 1134559180
LBN Legal business name Deatherage, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2013
Last updated Nov 12th, 2013 - about 12 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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