Kevan Delane Anderson II
Case Manager/Care Coordinator in Muskogee, OK. Individual provider (NPI-1).
NPI number1821655366
StatusActive
Last updated in NPPESMay 21, 2019
Details
- NPI
- 1821655366
- Entity type
- Individual (NPI-1)
- Name
- Kevan Delane Anderson II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2019
- Last updated
- May 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
619 N Main StMuskogee, OK 74401-4431
Phone 918-682-8407
Mailing address
619 N Main StMuskogee, OK 74401-4431
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All 178 Case Manager/Care Coordinator providers in Muskogee · All 2,229 providers in Muskogee
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