Dickerson, Kathryn Suzanne

Dickerson, Kathryn Suzanne is an individual health care provider with primary practice located at 111 E 12Th St , Ada OK 74820-6501. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Dickerson, Kathryn Suzanne can be contacted via phone (580) 436-2690.

Contact Information

Primary practice address
111 E 12Th St Ada OK 74820-6501
Phone: (580) 436-2690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1447624630
LBN Legal business name Dickerson, Kathryn Suzanne
Credentials BS/BHWC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2015
Last updated Oct 13th, 2016 - about 9 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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