Healthcare Provider Details

I. General information

NPI: 1043169618
Provider Name (Legal Business Name): KALEIGH DOHN BRYANT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 E FRANK PHILLIPS BLVD
BARTLESVILLE OK
74006-2406
US

IV. Provider business mailing address

401 S BARCLAY AVE
DEWEY OK
74029-2801
US

V. Phone/Fax

Practice location:
  • Phone: 918-332-3600
  • Fax: 918-948-6535
Mailing address:
  • Phone: 918-352-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0136446
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number229887
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: