NPI 1699140004
Melissa Blackbird
Practice location
- Address
- 499 W Boundry, Kansas, OK 74347-1662
- Phone
- (918) 868-2567
- Fax
- (918) 868-5584
- Mailing address
- PO Box 196 207 W Main, Kansas, OK 74347-0196
Registered specialties (2)
Local Education Agency (LEA)
Primary
Local Education Agency (LEA)
Registry record
- NPI
- 1699140004
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Dec 2015
- Record last updated
- 10 Dec 2015
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.