Wallis, Kandice

Wallis, Kandice is an individual health care provider with primary practice located at 314 S. Broadway St. Ste. 106, Ada OK 74820. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wallis, Kandice can be contacted via phone (888) 272-0210.

Contact Information

Primary practice address
314 S. Broadway St. Ste. 106 Ada OK 74820
Phone: (888) 272-0210
Fax: (580) 235-0211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1023412012
LBN Legal business name Wallis, Kandice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Oct 20th, 2014 - about 12 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.

Request for update

Popular Providers