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KETCEN OF TULSA LLC NPI 1902367618


NPI Information

NPI: 1902367618
Provider Name: KETCEN OF TULSA LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
9840 E 81ST ST STE 100
TULSA, OK
ZIP 74133
Phone: (918) 872-8162
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KETCEN OF TULSA LLC is an adult mental health clinic center in Tulsa, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. KETCEN OF TULSA LLC NPI is 1902367618. The provider is registered as an organization entity type.

The provider's business location address is:

9840 E 81ST ST STE 100
TULSA, OK
ZIP 74133-583
Phone: (918) 872-8162

The provider's authorized official is Kristy Phillips .
The authorized official title is Director Of Business Affairs and has the following contact phone number (918) 893-9240.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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