| Ms Kenyonne Derrick, | |
|
4009 Eufaula Ave, Muskogee, OK 74403-1132 | |
| (918) 682-2841 | |
| Not Available |
| Full Name | Ms Kenyonne Derrick |
|---|---|
| Gender | Female |
| Speciality | Health & Wellness Coach |
| Location | 4009 Eufaula Ave, Muskogee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932961711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (Oklahoma) | Secondary |
| 171400000X | Health & Wellness Coach | (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kenyonne Derrick, 4009 Eufaula Ave, Muskogee, OK 74403-1132 Ph: (918) 682-2841 | Ms Kenyonne Derrick, 4009 Eufaula Ave, Muskogee, OK 74403-1132 Ph: (918) 682-2841 |
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