United Keetoowah Band of Cherokee Indians

NPI #1871843144 in Tahlequah, Oklahoma

Provider Information

NPI Number
1871843144
Entity Type
Organization
Organization Name
United Keetoowah Band of Cherokee Indians
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Sep 14, 2012
Last Updated
Sep 14, 2012

Practice Location

Address
18263 W KEETOOWAH CIRCLE
ZIP Code
74464
Phone
(918) 822-1946

Authorized Official

Name
MR. BRYAN C SHADE
Title
EXECUTIVE DIRECTOR
Phone
(918) 822-1946

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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