Blair, Kerrie Dee

Blair, Kerrie Dee is an individual health care provider with primary practice located at 3111 B N Broadway , Poteau OK 74953. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Blair, Kerrie Dee can be contacted via phone (918) 647-2262.

Contact Information

Primary practice address
3111 B N Broadway Poteau OK 74953
Fax: (918) 647-2282
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X SUPERVISION Oklahoma

Profile Details

NPI number 1952624272
LBN Legal business name Blair, Kerrie Dee
Credentials UNDER LPC SUPERVISIO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952624272 NPPES
Oklahoma MEDICAID 200123440A

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