Provider Demographics
NPI:1932472867
Name:COOK, DEBRA KAY
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:KAY
Last Name:COOK
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 1:2939 CARLTON WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-2004
Mailing Address - Country:US
Mailing Address - Phone:405-535-8838
Mailing Address - Fax:
Practice Address - Street 1:2939 CARLTON WAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-2004
Practice Address - Country:US
Practice Address - Phone:405-535-8838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management