Provider Demographics
NPI:1881832731
Name:DUPEE, KATHLEEN SUSAN (HEARING SPECIALIST)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:SUSAN
Last Name:DUPEE
Suffix:
Gender:F
Credentials:HEARING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:OILTON
Mailing Address - State:OK
Mailing Address - Zip Code:74052-0490
Mailing Address - Country:US
Mailing Address - Phone:918-862-3730
Mailing Address - Fax:
Practice Address - Street 1:400 N. CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:OILTON
Practice Address - State:OK
Practice Address - Zip Code:74052-7405
Practice Address - Country:US
Practice Address - Phone:918-862-3730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK377237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist