Individual
KASEY NICOLE CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
OK
Enumeration date
11/29/2021
Last updated
12/30/2021
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