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NPI Code Detail

MEDICARE: KYLENE SHARPTON LCSW

MEDICARE: KYLENE SHARPTON LCSW
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
21041C0700XClinical Social Worker5273OK

General Provider Information

NPI Number : 1912262999
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLENE SHARPTON LCSW
Provider Business Mailing Address
First Line : 112 MCKINLEY AVE
Second Line :
City : CHANDLER
State : OK
Zip : 74834-1622
Country : US
Telephone Number : 405-424-7711
Fax Number :
Provider Business Practice Location Address
First Line : 112 MCKINLEY AVE
Second Line :
City : CHANDLER
State : OK
Zip : 74834-1622
Country : US
Telephone Number : 405-424-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 03/04/2026

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Directions to “ KYLENE SHARPTON LCSW” Practice Location

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