Kree Challa Phillip | Shawnee, OK • PECOS Search

Kree Challa Phillip

Case Manager/Care Coordinator

Other Service Providers

2808 Simco Pl, Shawnee, OK 74804-2294

PECOS Enrollment

Based on the most recent information from CMS, provider Kree Challa Phillip does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1972157485
Provider Type
Individual
Full Name
Phillip, Kree Challa
Gender
Female

Sole Proprietor
No
Enumeration Date
8/1/2019
Last Updated
10/21/2025

Contact Information

Practice Location

2808 Simco Pl, Shawnee, OK 74804-2294

Unlisted Fax

Mailing Location

2808 Simco Pl, Shawnee, OK 74804-2294

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer