KRISTI LYNN BURKHALTER - NPI NUMBER 1023398435

Summary

Provider Name: KRISTI LYNN BURKHALTER

NPI Number: 1023398435

Clasification: Counselor (101YM0800X)

Specialization: Mental Health

Address:
1604 N WASHINGTON AVE
DURANT, OK
ZIP 74701

Phone Number: (580) 920-0909



Detailed Information

Kristi Lynn Burkhalter is a mental health counselor in Durant, OK. The assigned NPI number for this provider is 1023398435 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

1604 N WASHINGTON AVE
DURANT, OK
ZIP 74701-128
Phone: (580) 920-0909

The enumeration date for this NPI number is 8/17/2011 and was last updated on 8/17/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101YM0800X Counselor Mental Health Yes

NPI Record

No. Field Name Field Value
1 NPI 1023398435
2 Entity Type Code 1
3 Provider Last Name Legal Name BURKHALTER
4 Provider First Name KRISTI
5 Provider Middle Name LYNN
6 Provider First Line Business Practice Location Address 1604 N WASHINGTON AVE
7 Provider Business Practice Location Address City Name DURANT
8 Provider Business Practice Location Address State Name OK
9 Provider Business Practice Location Address Postal Code 747012128
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 5809200909
12 Provider Enumeration Date 8/17/2011
13 Last Update Date 8/17/2011
14 Provider Gender Code F
15 Healthcare Provider Taxonomy Code 1 101YM0800X
16 Healthcare Provider Primary Taxonomy Switch 1 Y
17 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.