Healthcare Provider Details

I. General information

NPI: 1679365696
Provider Name (Legal Business Name): KATHY FRISBIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 12TH AVE NE
NORMAN OK
73071-5238
US

IV. Provider business mailing address

8524 SW 49TH CIR
OKLAHOMA CITY OK
73179-7500
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-3840
  • Fax:
Mailing address:
  • Phone: 918-429-6046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number201880
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number201880
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: