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Kacylia Stalin Stevenson

Case Manager/Care Coordinator in Boley, OK. Individual provider (NPI-1).

NPI number1669995452
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1669995452
Entity type
Individual (NPI-1)
Name
Kacylia Stalin Stevenson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2017
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

368015 Old Highway 62
Boley, OK 74829-2914

Phone 405-436-8221

Mailing address

368015 Old Highway 62
Boley, OK 74829-2914

Phone 405-436-8221

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Boley, OK

All 40 Case Manager/Care Coordinator providers in Boley · All 73 providers in Boley

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