Scroggins, Kamilah

Scroggins, Kamilah is an sole proprietor health care provider with primary practice located at 68512 S 310 Rd , Wagoner OK 74467-6276. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is her primary health care specialty. Scroggins, Kamilah can be contacted via phone (661) 972-8815.

Contact Information

Primary practice address
68512 S 310 Rd Wagoner OK 74467-6276
Fax:
Website:

Profile Details

NPI number 1043778061
LBN Legal business name Scroggins, Kamilah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2019
Last updated Aug 14th, 2025 - about last year

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 1043778061 NPPES
Oklahoma MEDICAID KF14188815

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