Deatherage, Keni
Deatherage, Keni is an sole proprietor health care provider with primary practice located at 1005 Coronet Cir , Heavener OK 74937-3806. She recently has only one registered license in Behavioral Health & Social Service Providers / Rehabilitation, which is considered as her primary health care specialty. Deatherage, Keni can be contacted via phone (479) 462-9818.Contact Information
Primary practice address
1005 Coronet Cir
Heavener OK 74937-3806
Phone: (479) 462-9818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X |
Profile Details
| NPI number | 1962787580 |
|---|---|
| LBN Legal business name | Deatherage, Keni |
| Credentials | BA, BHRS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2011 |
| Last updated | Oct 14th, 2011 - about 13 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.
Popular Providers
-
Gilewski, Michael J
11406 Loma Linda Dr Rm 105 , Loma Linda CA 92354-3711 -
Franklin, Ronald David
116 Macdougall Drive Seven Lakes Village, West End NC 27376 -
Connolly, Loren
5601 Loch Raven Blvd Rehab Department, Baltimore MD 21239-2945 -
Walbran, Bonnie B.
859 Edlin Dr , Saint Louis MO 63122-1615 -
Argun, Abraham A
4354 Latham St Ste 100 , Riverside CA 92501-1777 -
Balestin, Gary G.
1475 Huntington Ave Suite 201, South San Francisco CA 94080-5990 -
Kuna, Daniel J
5577 Airport Hwy Ste 201, Toledo OH 43615-7364 -
Turner, Ronald L
95 Glen Wild Rd , Rock Hill NY 12775-6721