Provider Demographics
NPI:1376749556
Name:FURRH, STEPHANIE KAY
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:KAY
Last Name:FURRH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-6337
Mailing Address - Country:US
Mailing Address - Phone:580-223-2537
Mailing Address - Fax:580-223-2487
Practice Address - Street 1:301 W MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-6337
Practice Address - Country:US
Practice Address - Phone:580-223-2537
Practice Address - Fax:580-223-2487
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator