Most Relevant Information
Provider Data
| NPI Number: | 1003581521 |
| Provider Name: | KARLEE GIBSON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/16/2021 |
| Last Updated: | 09/20/2021 |
Provider Practice Location
405 E EXCELSIOR AVE
VINITA
OK
743014226
Practice Location Phone/Fax
| Phone: | 9182566476 |
| Fax: |
Provider Mailing Location
405 E EXCELSIOR AVE
VINITA
OK
743014226
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |