IndividualActive
Chastity Baken
NPI 1508497173 · Case Manager/Care Coordinator · Tishomingo, OK
Provider details
- NPI number
- 1508497173
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
108 W Main St
Tishomingo, OK 73460-1723
Phone: (580) 371-3019
Fax: (580) 371-0138
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 970
Tishomingo, OK 73460-0970
Registry dates
- Enumerated
- 2020-01-31
- Last updated
- 2020-01-31
- Certified
- 2020-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.