Shannon Kaye Owens
Individual provider Active NPI Counselor · Coleman, OK
NPI 1922443654 · NPPES record last updated May 8, 2013
Key facts
- NPI
- 1922443654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 10289 S Eli Rd
Coleman, OK 73432-8705 - Phone
- (580) 443-5017
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
10289 S Eli Rd
Coleman, OK 73432-8705
Mailing address
10289 S Eli Rd
Coleman, OK 73432-8705
Phone (580) 443-5017
Other providers in Coleman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.