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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN EDMONDSON

Active Sole Proprietor

KEVIN EDMONDSON is a Case Manager healthcare provider located in TISHOMINGO, Oklahoma. NPI 1194068049 is currently active in the NPPES registry. Verify at CMS.

Case Manager · TISHOMINGO, OK

Registration Details

NPI Number
1194068049
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2013 (13.343572776639 yrs)
Last Updated
Mar 28, 2013
Sole Proprietor
Yes

Practice Information

Address
1350 S MULDROW ST
TISHOMINGO, OK, 734603278
Browse OK providers · Browse ZIP 73460
Phone
5805799939
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in TISHOMINGO, OK

Name Credential NPI
MRS. KRISTI ANN FORBES BHCM1,C-PRSS 1205129707
MR. RANDAL COY FLINN 1003199092
HEATHER LOUISE LITTRELL 1437428554
JESSICA LENA CALHOON 1518206192
ETHAN WADE TAYLOR 1841636115
AMANDA NACOLE MCCLENDON 1205273372
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.