Healthcare Provider Details

I. General information

NPI: 1033354121
Provider Name (Legal Business Name): KARI KAMAY HARMAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARI KAMAY HARRISON

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 FREENY VALLEY RD
CADDO OK
74729-2607
US

IV. Provider business mailing address

138 FREENY VALLEY RD
CADDO OK
74729-2607
US

V. Phone/Fax

Practice location:
  • Phone: 580-364-3334
  • Fax: 888-330-1683
Mailing address:
  • Phone: 580-364-3334
  • Fax: 888-330-1683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number691667
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberR0077019
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: