MEDICARE: KYLAR MARIE ADAMS

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
1	106S00000X	Behavior Technician		OK

General Provider Information

NPI Number	:	1679409973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLAR MARIE ADAMS

Provider Business Mailing Address
First Line	:	PO BOX 470
Second Line	:
City	:	HYDRO
State	:	OK
Zip	:	73048-0470
Country	:	US
Telephone Number	:	580-816-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 E MAIN ST
Second Line	:
City	:	WEATHERFORD
State	:	OK
Zip	:	73096-5722
Country	:	US
Telephone Number	:	580-318-9415
Fax Number	:	405-999-4998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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Directions to “ KYLAR MARIE ADAMS ” Practice Location

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