Kayla S Frost
Individual provider Active NPI Counselor · Spencer, OK
NPI 1629314380 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1629314380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 12629 NE 38TH St
Spencer, OK 73084-9156 - Phone
- (405) 464-0083
- NPI assigned
- Dec 27, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
12629 NE 38TH St
Spencer, OK 73084-9156
Mailing address
12629 NE 38TH St
Spencer, OK 73084-9156
Phone (405) 464-0083
Other providers in Spencer, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.