Individual
MR. KRIS DERYLE KYGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC MH
Contact information
Practice address
9531 E CARDINAL PL # 1562, OKLAHOMA CITY, OK 73130-2518
(405) 256-8102
Mailing address
6608 N WESTERN AVE # 1562, OKLAHOMA CITY, OK 73116-7326
(405) 256-8102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1441
OK
Other
Enumeration date
07/14/2010
Last updated
05/15/2025
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