Healthcare Provider Details

I. General information

NPI: 1932016185
Provider Name (Legal Business Name): KAMRYN LEIGH FITE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 N AIRPORT RD
WEATHERFORD OK
73096-3351
US

IV. Provider business mailing address

31144 SQUARE TOP RD
ANADARKO OK
73005-7500
US

V. Phone/Fax

Practice location:
  • Phone: 405-424-7711
  • Fax:
Mailing address:
  • Phone: 580-819-0937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: