Provider Demographics
NPI:1205129707
Name:FORBES, KRISTI ANN (BHCM1,C-PRSS)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:ANN
Last Name:FORBES
Suffix:
Gender:F
Credentials:BHCM1,C-PRSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 W SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-4923
Mailing Address - Country:US
Mailing Address - Phone:580-371-5098
Mailing Address - Fax:580-371-2056
Practice Address - Street 1:6150 W SUNRISE LN
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-4923
Practice Address - Country:US
Practice Address - Phone:580-371-5098
Practice Address - Fax:580-371-2056
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator