Dudley, Katie Allyse

Dudley, Katie Allyse is an individual health care provider with primary practice located at 2100 W Iowa Ave Ste A , Chickasha OK 73018-2736. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dudley, Katie Allyse can be contacted via phone (405) 224-2100.

Contact Information

Primary practice address
2100 W Iowa Ave Ste A Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2310
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 109112 Oklahoma

Profile Details

NPI number 1073163275
LBN Legal business name Dudley, Katie Allyse
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2019
Last updated Sep 19th, 2019 - about 7 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 1073163275 NPPES
Oklahoma MEDICAID PENDING

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