Individual
MISS KAYLA S FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12629 NE 38TH ST, SPENCER, OK 73084-9156
(405) 464-0083
Mailing address
12629 NE 38TH ST, SPENCER, OK 73084-9156
(405) 464-0083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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