Individual provider · Type 1 NPI

Melissa Blackbird

Local Education Agency (LEA) · Kansas, OK

NPI number 1699140004 Active

Practice location

499 W Boundry
Kansas, OK 74347-1662

Call (918) 868-2567 Map

Fax (918) 868-5584

Mailing address

PO Box 196, 207 W Main
Kansas, OK 74347-0196

Specialties and licenses

Taxonomy	Code	License
Local Education Agency (LEA) Primary	251300000X	None listed
Local Education Agency (LEA)	251300000X	48776 (OK)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

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About NPI 1699140004

Melissa Blackbird's National Provider Identifier is 1699140004, issued on Dec 10, 2015. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Kansas, OK. The record was last updated on Dec 10, 2015.