| Kimberly Jan Price, | |
|
1604 N Washington Ave, Durant, OK 74701-2128 | |
| (580) 920-0909 | |
| Not Available |
| Full Name | Kimberly Jan Price |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1604 N Washington Ave, Durant, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689953853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Crossroads 1010 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174072482 PECOS PAC ID: 5092156596 Enrollment ID: O20240515002291 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Jan Price, 1604 N Washington Ave, Durant, OK 74701-2128 Ph: (580) 920-0909 | Kimberly Jan Price, 1604 N Washington Ave, Durant, OK 74701-2128 Ph: (580) 920-0909 |
Melissa Holaday, LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 N 1st Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
Mr. Preston John Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Natasha Tom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N 3rd Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
David Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Main St, Durant, OK 74701 Phone: 580-924-7330 | |
Daniel Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 N 12th Ave, Durant, OK 74701 Phone: 580-924-6363 | |
Mrs. Christine Lynn Cragar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Kristi Lynn Burkhalter, Counselor Medicare: Medicare Enrolled Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 |