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NPI Code Detail

MEDICARE: KRISTEN KAYE CASE PT

MEDICARE: KRISTEN KAYE CASE PT
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
1225100000XPhysical TherapistPT1952OK

General Provider Information

NPI Number : 1881234581
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN KAYE CASE PT
Provider Business Mailing Address
First Line : 2630 OKLAHOMA AVE
Second Line :
City : WOODWARD
State : OK
Zip : 73801-4010
Country : US
Telephone Number : 580-256-2102
Fax Number : 580-256-1410
Provider Business Practice Location Address
First Line : 2630 OKLAHOMA AVE
Second Line :
City : WOODWARD
State : OK
Zip : 73801-4010
Country : US
Telephone Number : 580-256-2102
Fax Number : 580-256-1410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2020
Last Update Date : 01/10/2020

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