Ketcen of Tulsa LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KETCEN OF TULSA LLC

Practice address

9840 E 81St St Ste 100
Tulsa, OK 74133-4583

Phone

(918) 872-8162

NPI assigned

Mar 26, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristy Phillips

Title

Director of Business Affairs

Phone

(918) 893-9240

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1902367618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 E 81ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 E 81ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334583",
            "telephone_number": "918-872-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETCEN OF TULSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "918-893-9240"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Kay Kessler, DPH
• Candy Kessler
• Brian Matthew Kester, MS
• Carrie R Kester
• Megan Kesterson, DO
• Melanie Nyeh Ketchandji, M.D
• Kasi Melissa Ketcher, APRN-CNP
• Desmond E Ketter, LPC
• Katherine Queen Ketter
• Pheona Ketter, REGISTERED NURSE

• Adult Mental Health Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Adult Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.