Search › Oklahoma › 103TR0400X

Keni Deatherage, BA, BHRS

NPI 1962787580 · on the registry since 2011 · sole proprietor

Practice

Address
1005 Coronet Cir
Heavener, OK 74937
Phone
(479) 462-9818

Registry record

Primary taxonomy
103TR0400X
103TR0400X
Sex
Female
Record last updated
2011-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma