Healthcare Provider Details

I. General information

NPI: 1073194619
Provider Name (Legal Business Name): KYLEE KRYSTINE ALMENDAREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S DEWEY AVE STE 108
BARTLESVILLE OK
74003-3525
US

IV. Provider business mailing address

2900 RIDGE CT
BARTLESVILLE OK
74006-4615
US

V. Phone/Fax

Practice location:
  • Phone: 918-336-0810
  • Fax: 918-336-0836
Mailing address:
  • Phone: 918-876-7160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: