Healthcare Provider Details

I. General information

NPI: 1427962042
Provider Name (Legal Business Name): ELAINE KAY BINKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 S EASTERN AVE
MOORE OK
73160-5942
US

IV. Provider business mailing address

300 RAMSEY CT
NORMAN OK
73072-3822
US

V. Phone/Fax

Practice location:
  • Phone: 405-895-6803
  • Fax:
Mailing address:
  • Phone: 405-895-5568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: