Karyn Elizabeth Fox
Individual provider Active NPI Peer Specialist · Wagoner, OK
NPI 1679083166 · NPPES record last updated Oct 10, 2017
Key facts
- NPI
- 1679083166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 2109 S Highway 69
Wagoner, OK 74467-9310 - Phone
- (918) 708-3006
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
2109 S Highway 69
Wagoner, OK 74467-9310
Mailing address
3005 S Ash CT
Broken Arrow, OK 74012-7806
Phone (918) 852-8479
Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2017. 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.