Katelyn Cheyanne Carpenter

NPI #1871105452 in Henryetta, Oklahoma

Provider Information

NPI Number: 1871105452
Entity Type: Individual
Name: Katelyn Cheyanne Carpenter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 17, 2020
Last Updated: Aug 17, 2020

Practice Location

Address: 316 W MAIN ST
City: Henryetta
State: Oklahoma
ZIP Code: 74437-4240
Phone: (918) 650-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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