Kevin Edmondson
NPI #1194068049 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1194068049
- Entity Type
- Individual
- Name
- Kevin Edmondson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Mar 28, 2013
- Last Updated
- Mar 28, 2013
Practice Location
- Address
- 1350 S MULDROW ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-3278
- Phone
- (580) 579-9939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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