Healthcare Provider Details

I. General information

NPI: 1356263404
Provider Name (Legal Business Name): KAYLEE D TERRELL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 NW 184TH TER
EDMOND OK
73012-7681
US

IV. Provider business mailing address

3125 NW 184TH TER
EDMOND OK
73012-7681
US

V. Phone/Fax

Practice location:
  • Phone: 405-448-0092
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KAYLEE TERRELL
Title or Position: OWNER
Credential:
Phone: 405-448-0092