NPI 1073876173

Kami Runyon

Practitioner Mental Illness Community Based Residential Treatment Facility McAlester, OK

Practice location

Address: 111 S Main St, McAlester, OK 74501-5363
Phone: (918) 423-5205
Mailing address: 1110 W Ridge Ave, McAlester, OK 74501-2239

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 320310303 (OK)

Other Community Based Residential Treatment Facility, Mental Illness providers in Oklahoma →

Registry record

NPI: 1073876173
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2012
Record last updated: 22 Jun 2012

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.