Krista Whittemore

NPI #1609580315 in Ada, Oklahoma

Provider Information

NPI Number: 1609580315
Entity Type: Individual
Name: Krista Whittemore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 9, 2023
Last Updated: Jan 9, 2023

Practice Location

Address: 1201 ARLINGTON ST STE G
City: Ada
State: Oklahoma
ZIP Code: 74820-4072
Phone: (580) 565-4235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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