Healthcare Provider Details

I. General information

NPI: 1972883478
Provider Name (Legal Business Name): MS. CAITLIN MARIE CAIRNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2011
Last Update Date: 08/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 NW 36TH ST SUITE 200
OKLAHOMA CITY OK
73112-2970
US

IV. Provider business mailing address

172 UPLAND RD
GREENLEAF KS
66943-9416
US

V. Phone/Fax

Practice location:
  • Phone: 405-414-6832
  • Fax:
Mailing address:
  • Phone: 405-414-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: