Davis, Mary Kathy

Davis, Mary Kathy is an individual health care provider with primary practice located at 401 N Oklahoma Ave , Mangum OK 73554-3000. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Davis, Mary Kathy can be contacted via phone (580) 782-5912.

Contact Information

Primary practice address
401 N Oklahoma Ave Mangum OK 73554-3000
Phone: (580) 782-5912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1649741430
LBN Legal business name Davis, Mary Kathy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2018
Last updated Dec 6th, 2018 - about 8 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 1649741430 NPPES
Oklahoma Other 736021103 MANGUM PUBLIC SCHOOLS

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