Individual
KAYDENCE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
104 S MAPLE ST, FAIRLAND, OK 74343-4914
(479) 220-5890
Mailing address
104 S MAPLE ST, FAIRLAND, OK 74343-4914
(479) 220-5890
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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