Kitchen, Mary Yvonne

Kitchen, Mary Yvonne is an individual health care provider with primary practice located at 133 W Winston St , Broken Arrow OK 74011-6843. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kitchen, Mary Yvonne can be contacted via phone (918) 504-5385.

Contact Information

Primary practice address
133 W Winston St Broken Arrow OK 74011-6843
Phone: (918) 504-5385
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT519 Oklahoma

Profile Details

NPI number 1841417813
LBN Legal business name Kitchen, Mary Yvonne
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 27th, 2009 - about 17 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 1841417813 NPPES
Oklahoma MEDICAID 200210410A

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