Mckinnon, Kaitlyn Nykole
Mckinnon, Kaitlyn Nykole is an individual health care provider with primary practice located at 34 N Washington St , Ardmore OK 73401-7013. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mckinnon, Kaitlyn Nykole can be contacted via phone (580) 670-3117.Contact Information
Primary practice address
34 N Washington St
Ardmore OK 73401-7013
Phone: (580) 670-3117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Oklahoma |
Profile Details
| NPI number | 1003456179 |
|---|---|
| LBN Legal business name | Mckinnon, Kaitlyn Nykole |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2020 |
| Last updated | Jan 7th, 2020 - about 6 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 | 1003456179 | NPPES |
| Oklahoma | MEDICAID | 106S00000X |
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