Provider Demographics
NPI:1275965808
Name:MEEK, KENDALL LIN
Entity Type:Individual
Prefix:MRS
First Name:KENDALL
Middle Name:LIN
Last Name:MEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KINDEL
Other - Middle Name:LIN
Other - Last Name:MEEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:621 N 4TH ST
Mailing Address - Street 2:APT 105
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2650
Mailing Address - Country:US
Mailing Address - Phone:918-381-4568
Mailing Address - Fax:
Practice Address - Street 1:1516 S BOSTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4003
Practice Address - Country:US
Practice Address - Phone:918-561-6000
Practice Address - Fax:918-561-6001
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor