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Katherine Deatherage
NPI 1134559180 · on the registry since 2013
Practice
- Address
- 1200 W 4th St
Ste. D
Tahlequah, OK 74464 - Phone
- (918) 485-0113
- Fax
- (918) 458-0075
- Organisation at this address
- Dr. Thomason M Mcconnell Dds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Nurse's Aide
376K00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma