Healthcare Provider Details

I. General information

NPI: 1881502987
Provider Name (Legal Business Name): KAMRYN NICOLE GOOD DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8931 S YALE AVE STE L
TULSA OK
74137-3531
US

IV. Provider business mailing address

12718 E 132ND ST S
BROKEN ARROW OK
74011-3114
US

V. Phone/Fax

Practice location:
  • Phone: 918-743-7923
  • Fax:
Mailing address:
  • Phone: 918-808-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4692
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: