Healthcare Provider Details

I. General information

NPI: 1235040809
Provider Name (Legal Business Name): KAISON HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 N INTERSTATE DR
NORMAN OK
73072-3392
US

IV. Provider business mailing address

1308 N INTERSTATE DR
NORMAN OK
73072-3392
US

V. Phone/Fax

Practice location:
  • Phone: 405-604-7498
  • Fax:
Mailing address:
  • Phone: 405-237-6199
  • Fax: 405-237-6305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA T NOLA
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 405-604-7498