KEVIN EDMONDSON
NPI 1194068049
Case Manager/Care Coordinator in Tishomingo, OK

Active since March 28, 2013
1350 S MULDROW ST, TISHOMINGO, OK 73460(580) 579-9939 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Edmondson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN EDMONDSON (NPI 1194068049) is an individual case manager/care coordinator provider in Tishomingo, Oklahoma and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1194068049
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameKEVIN EDMONDSON
Location Address1350 S MULDROW STTishomingo, OK 73460-3278
Mailing Address1350 S Muldrow StTishomingo, OK 73460-3278 · (580) 579-9939
Sole ProprietorYes
Enumeration DateMarch 28, 2013
NPI 1194068049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1350 S MULDROW ST, Tishomingo, OK 73460

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1350 S MULDROW ST
TISHOMINGO, OK 73460
Case Manager/Care Coordinator
1350 S MULDROW ST
TISHOMINGO, OK 73460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Edmondson's NPI number?

The NPI number for Kevin Edmondson is 1194068049. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Kevin Edmondson located?

Kevin Edmondson practices at 1350 S Muldrow St, Tishomingo, OK 73460. The listed phone number is (580) 579-9939.

What is Kevin Edmondson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kevin Edmondson was last updated on March 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.