Most Relevant Information
Provider Data
| NPI Number: | 1003568312 |
| Provider Name: | KATHERINE MARIE SIMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/19/2022 |
| Last Updated: | 01/19/2022 |
Provider Practice Location
1322 W MAIN ST
ANTLERS
OK
745232016
Practice Location Phone/Fax
| Phone: | 5802985062 |
| Fax: |
Provider Mailing Location
PO BOX 1153
ANTLERS
OK
745231153
Provider Mailing Phone/Fax
| Phone: | 4054964222 |
| Fax: |