Healthcare Provider Details

I. General information

NPI: 1952379208
Provider Name (Legal Business Name): LAURI J KEARNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 12TH AVE NE
NORMAN OK
73071-5238
US

IV. Provider business mailing address

715 S LAHOMA AVE
NORMAN OK
73069-4507
US

V. Phone/Fax

Practice location:
  • Phone: 405-573-3821
  • Fax: 405-573-8256
Mailing address:
  • Phone: 405-292-6251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number17883
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number17883
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: