NPI 1073241477
Kassie Waller
Practice location
- Address
- 1680 S Greathouse Drive, Atoka, OK 74525-7452
- Phone
- (808) 896-6115
- Fax
- (580) 324-4181
- Mailing address
- 1775 S Greathouse Dr, Atoka, OK 74525-3434
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1073241477
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Aug 2022
- Record last updated
- 12 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.