Kara B Anderson
Individual provider Active NPI Counselor · Ponca City, OK
NPI 1699098152 · NPPES record last updated Mar 11, 2010
Key facts
- NPI
- 1699098152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 080869005 (OK)
- Practice address
- 2116 Cardinal Rd
Ponca City, OK 74604-3003 - Phone
- (580) 718-2884
- NPI assigned
- Mar 11, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 080869005 | OK | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 080869005 | OK | Yes |
Addresses
Primary practice location
2116 Cardinal Rd
Ponca City, OK 74604-3003
Mailing address
2116 Cardinal Rd
Ponca City, OK 74604-3003
Phone (580) 718-2884
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2010. 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.