Kelly Rainwater
Rehabilitation Psychologist
53900 442nd Avenue
Talihina
, Oklahoma 74571-1022
Kelly Rainwater
Rehabilitation Psychologist
53900 442nd Avenue
Talihina
, Oklahoma 74571-1022
(918) 567-2382
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Kelly Rainwater
- Po Box 1022
- Talihina, OK
- Zip : 74571-1022
- Fax : (918) 567-2382
- Phone : (918) 413-5600
Second Address
- Kelly Rainwater
- 53900 442nd Avenue
- Talihina, OK
- Zip : 74571-1022
- Fax : (918) 567-2382
- Phone : (918) 413-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1205265238 |
|---|---|
| Provider Name | Kelly Rainwater |
| First Address | Talihina, OK 74571-1022 |
| Second Address | Talihina, OK 74571-1022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2013 |
| Last Update Date | 12/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.