Healthcare Provider Details

I. General information

NPI: 1457248643
Provider Name (Legal Business Name): KATHRYN ELIZABETH SNYDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 HONOR HEIGHTS DR
MUSKOGEE OK
74401-1318
US

IV. Provider business mailing address

817 CROWN DR
BARTLESVILLE OK
74006-8938
US

V. Phone/Fax

Practice location:
  • Phone: 918-577-3939
  • Fax:
Mailing address:
  • Phone: 918-914-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number0111722
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: