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NPI Code Detail

MEDICARE: KI'ARA KAPRIXIA NELSON

MEDICARE:   KI'ARA KAPRIXIA NELSON
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
1224Z00000XOccupational Therapy Assistant2401OK

General Provider Information

NPI Number : 1831845601
Entity Type Code : Individual
Provider Name (Legal Business Name) : KI'ARA KAPRIXIA NELSON
Provider Business Mailing Address
First Line : 4326 S 109TH EAST AVE APT 1104
Second Line :
City : TULSA
State : OK
Zip : 74146-5312
Country : US
Telephone Number : 408-705-7319
Fax Number :
Provider Business Practice Location Address
First Line : 4326 S 109TH EAST AVE APT 1104
Second Line :
City : TULSA
State : OK
Zip : 74146-5312
Country : US
Telephone Number : 408-705-7319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2022
Last Update Date : 03/01/2022

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Directions to “ KI'ARA KAPRIXIA NELSON ” Practice Location

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