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NPI Code Detail

MEDICARE: KATOMA HAVANNAH WADKINS-CALDWELL

MEDICARE: KATOMA HAVANNAH WADKINS-CALDWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1750236311
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATOMA HAVANNAH WADKINS-CALDWELL
Provider Business Mailing Address
First Line : 411 1/2 E SEMINOLE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5859
Country : US
Telephone Number : 918-413-1343
Fax Number :
Provider Business Practice Location Address
First Line : 727 E WYANDOTTE AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-5427
Country : US
Telephone Number : 918-420-5343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2026
Last Update Date : 02/28/2026

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Directions to “ KATOMA HAVANNAH WADKINS-CALDWELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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