| Kimberly L Duel, | |
|
2442 Mohawk Blvd, Tulsa, OK 74110 | |
| (918) 430-0975 | |
| (918) 430-0995 |
| Full Name | Kimberly L Duel |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2442 Mohawk Blvd, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285063750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6024 (Oklahoma) | Primary |
| Entity Name | Millennium Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859 |
| Entity Name | Shortgrass Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982263752 PECOS PAC ID: 9234385535 Enrollment ID: O20121101000597 |
| Entity Name | Alliance Mental Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly L Duel, Po Box 580700, Tulsa, OK 74158 Ph: (918) 430-0975 | Kimberly L Duel, 2442 Mohawk Blvd, Tulsa, OK 74110 Ph: (918) 430-0975 |
Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004 | |
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263 | |
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001 | |
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106 | |
Deborah Susan Farber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7633 E 63rd Pl Ste 300, Tulsa, OK 74133 Phone: 539-207-2036 | |
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259 | |
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Accepting Medicare Assignments Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966 |