Derrick, Kenyonne
Derrick, Kenyonne is an sole proprietor health care provider with primary practice located at 4009 Eufaula Ave , Muskogee OK 74403-1132. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Derrick, Kenyonne can be contacted via phone (918) 682-2841.Contact Information
Primary practice address
4009 Eufaula Ave
Muskogee OK 74403-1132
Phone: (918) 682-2841
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | Oklahoma |
Profile Details
| NPI number | 1932961711 |
|---|---|
| LBN Legal business name | Derrick, Kenyonne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2024 |
| Last updated | Jan 26th, 2024 - about 8 months 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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