NPI 1134559180
Katherine Deatherage
Practice location
- Address
- 1200 W 4th St STE. D, Tahlequah, OK 74464-5013
- Phone
- (918) 485-0113
- Fax
- (918) 458-0075
- Mailing address
- PO Box 662, Purcell, OK 73080-0662
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1134559180
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Nov 2013
- Record last updated
- 12 Nov 2013
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.