Individual provider · Type 1 NPI

Kevin Ray Charboneau, RN

Case Management Registered Nurse · Muskogee, OK

NPI number 1780477133 Active

Practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400XR0065871 (OK)

Case Management Registered Nurse: Definition to come...

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About NPI 1780477133

Kevin Ray Charboneau, RN's National Provider Identifier is 1780477133, issued on May 28, 2025. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Muskogee, OK. The record was last updated on May 28, 2025.