Kathryn Arlene Alden, LPN

Individual provider Active NPI Licensed Practical Nurse · Jenks, OK

NPI 1144099516 · NPPES record last updated Dec 27, 2023

Key facts

NPI
1144099516
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
L0045319 (OK)
Practice address
204 S Riverfront Dr Apt 206
Jenks, OK 74037-3909
Phone
(720) 688-0277
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L0045319OKMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
164W00000X L0045319 OK Yes

Addresses

Primary practice location

204 S Riverfront Dr Apt 206
Jenks, OK 74037-3909

Mailing address

7331 S Olympia Ave # 218
Tulsa, OK 74132-1849
Phone (720) 688-0277

Other providers in Jenks, OK

All providers in Jenks, OK · Licensed Practical Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.