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NPI Code Detail

MEDICARE: KAREN SUZANNE KYTE PA-C

MEDICARE: KAREN SUZANNE KYTE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA747OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609874668
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUZANNE KYTE PA-C
Provider Business Mailing Address
First Line : PO BOX 268981
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73126-8981
Country : US
Telephone Number : 405-232-0341
Fax Number : 405-552-9375
Provider Business Practice Location Address
First Line : 4913 W RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-6339
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 10/05/2020

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