| Kathy Lynn Davies, MED | |
|
2104-a N Broadway St, Poteau, OK 74953-2617 | |
| (918) 647-0485 | |
| Not Available |
| Full Name | Kathy Lynn Davies |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 2104-a N Broadway St, Poteau, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578852208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 197338 (Oklahoma) | Primary |
| 101YP2500X | Counselor - Professional | 5767 (Oklahoma) | Secondary |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Lynn Davies, MED 2104 N Broadway St Unit A, Poteau, OK 74953-2538 Ph: (918) 647-0485 | Kathy Lynn Davies, MED 2104-a N Broadway St, Poteau, OK 74953-2617 Ph: (918) 647-0485 |
Paul Lee Plummer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Mozell St, Poteau, OK 74953 Phone: 918-839-7576 | |
Kinsey Akers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 Dewey Ave, Poteau, OK 74953 Phone: 918-649-0172 | |
Shannon Warren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 N Broadway St Unit A, Poteau, OK 74953 Phone: 918-647-0485 Fax: 918-647-0571 | |
Charles Fields, Counselor Medicare: Medicare Enrolled Practice Location: 1212 Reynolds Ave, Poteau, OK 74953 Phone: 918-649-0172 | |
Jerry Lynn Stankewitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 N Broadway St Unit A, Poteau, OK 74953 Phone: 918-647-0485 Fax: 918-647-0571 | |
Michele Lena Griffin, M.ED. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34183 Country Club Ln, Poteau, OK 74953 Phone: 918-649-7641 Fax: 918-647-2926 | |
Roxanne Elizabeth Watson, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 804 S Broadway St, Poteau, OK 74953 Phone: 918-647-9629 |