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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 (13.590874860238 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.