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

KOURTLAND BLAIR MCMILLAN

Active Sole Proprietor

KOURTLAND BLAIR MCMILLAN is a Peer Specialist healthcare provider located in WAGNER, Oklahoma. NPI 1255196697 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · WAGNER, OK

Registration Details

NPI Number
1255196697
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2024 (2.4670664321539 yrs)
Last Updated
Feb 15, 2024
Sole Proprietor
Yes

Practice Information

Address
215 NE 1ST STREET
WAGNER, OK, 744676928
Browse OK providers · Browse ZIP 74467
Phone
9182014333
Primary Specialty
Peer Specialist
175T00000X
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.