Kyle Joseph Twist
Case Manager/Care Coordinator in Westville, OK. Individual provider (NPI-1).
NPI number1194356790
StatusActive
Last updated in NPPESFeb 1, 2020
Details
- NPI
- 1194356790
- Entity type
- Individual (NPI-1)
- Name
- Kyle Joseph Twist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2020
- Certification date
- Feb 1, 2020
- Last updated
- Feb 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
471076 E 723 RdWestville, OK 74965-7005
Phone 479-220-2611
Mailing address
Po Box 1001Westville, OK 74965-1001
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