Kristie Lee Koble

NPI #1053942599 in Muskogee, Oklahoma

Provider Information

NPI Number: 1053942599
Entity Type: Individual
Name: Kristie Lee Koble
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Feb 3, 2020
Last Updated: Feb 3, 2020

Practice Location

Address: 619 N MAIN ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4431
Phone: (918) 687-1039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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