Kylie Kathleen Shockley
Case Manager/Care Coordinator in Nowata, OK. Individual provider (NPI-1).
NPI number1982141669
StatusActive
Last updated in NPPESFeb 6, 2017
Details
- NPI
- 1982141669
- Entity type
- Individual (NPI-1)
- Name
- Kylie Kathleen Shockley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2017
- Last updated
- Feb 6, 2017
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
111 W Delaware AveNowata, OK 74048-2616
Phone 918-273-1841 · Fax 918-273-1843
Mailing address
111 W Delaware AveNowata, OK 74048-2616
Phone 918-273-1841 · Fax 918-273-1843
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.
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All 42 Case Manager/Care Coordinator providers in Nowata · All 177 providers in Nowata
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