Doyle, Keondra Latrece
Doyle, Keondra Latrece is an sole proprietor health care provider with primary practice located at 6202 S Lewis Ave Ste H, Tulsa OK 74136-1099. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Doyle, Keondra Latrece can be contacted via phone (918) 899-7284.Contact Information
Primary practice address
6202 S Lewis Ave Ste H
Tulsa OK 74136-1099
Phone: (918) 899-7284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1134463367 |
|---|---|
| LBN Legal business name | Doyle, Keondra Latrece |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2012 |
| Last updated | Nov 10th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134463367 | NPPES |
| Oklahoma | MEDICAID | 20028712OA |
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