Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOURTLAND BLAIR MCMILLAN
Active Sole ProprietorKOURTLAND 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 STREETWAGNER, OK, 744676928Browse 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.