Kylie Kathleen Shockley

NPI #1982141669 in Nowata, Oklahoma

Provider Information

NPI Number: 1982141669
Entity Type: Individual
Name: Kylie Kathleen Shockley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jan 19, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 111 W DELAWARE AVE
City: Nowata
State: Oklahoma
ZIP Code: 74048-2616
Phone: (918) 273-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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