Most Relevant Information
Provider Data
| NPI Number: | 1003180852 |
| Provider Name: | KYLE MATTHEW HIRSCH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/25/2012 |
| Last Updated: | 02/25/2012 |
Provider Practice Location
2619 N HARVEY AVE
OKLAHOMA CITY
OK
731033017
Practice Location Phone/Fax
| Phone: | 4055253959 |
| Fax: | 4055257867 |
Provider Mailing Location
2619 N HARVEY AVE
OKLAHOMA CITY
OK
731033017
Provider Mailing Phone/Fax
| Phone: | 4055253959 |
| Fax: | 4055257867 |