Individual
MRS. LYNDSIE ANNETTE KYGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC-MH-C
Contact information
Practice address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 471-9162
Mailing address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXXX
XXX
—
Enumeration date
02/17/2020
Last updated
02/27/2024
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