Provider Demographics
NPI:1295123438
Name:CHOKKA KILIMPI FAMILY RESOURCE CENTER
Entity type:Organization
Organization Name:CHOKKA KILIMPI FAMILY RESOURCE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:405-767-8940
Mailing Address - Street 1:3200 MARSHALL AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-8033
Mailing Address - Country:US
Mailing Address - Phone:405-767-8940
Mailing Address - Fax:405-767-8949
Practice Address - Street 1:3200 MARSHALL AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-8033
Practice Address - Country:US
Practice Address - Phone:405-767-8940
Practice Address - Fax:405-767-8949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management