Kylie Jo Detherage

  • NPI 1407345879
According to our database, the NPI number for Kylie Jo Detherage is 1407345879 and activated since 6 years ago. Kylie Jo Detherage is an individual provider who specializes in Social Worker, and the primary practice location is 650 S Peoria Ave, Tulsa, OK 74120. You can also contact Kylie Jo Detherage via telephone number is (918) 587-9471. Provider NPI information was last updated on 06/08/2021.

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Overview of Kylie Jo Detherage

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/01/2018
  • Last updated: 06/08/2021

Primary Scrop of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 650 S Peoria Ave
    Tulsa, OK 74120
  • Phone: 918-587-9471
  • Fax:

Provider Practice Location

  • Address: 650 S Peoria Ave
    Tulsa, OK 74120
  • Phone: 918-587-9471
  • Fax:

Scope of Practice

  • Taxonomy Code: 171M00000X
  • Specialty: Case Manager/Care Coordinator
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kylie Jo Detherage?
  • A: The npi number for Kylie Jo Detherage is 1407345879.
  • Q: What are Kylie Jo Detherage's specialties?
  • A: Kylie Jo Detherage's specialties are Social Worker and different specialities.
  • Q: What is the medical license for Kylie Jo Detherage?
  • A: The medical license number for Kylie Jo Detherage is unknow and issued in unknow in USA.
  • Q: Where is Kylie Jo Detherage practice location?
  • A: Kylie Jo Detherage is practicing at 650 S Peoria Ave, Tulsa, OK 74120.
  • Q: How to contact Kylie Jo Detherage?
  • A: You can contact Kylie Jo Detherage via 918-587-9471.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
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Sports Physician
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Physical Therapist
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Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.