Individual
KAYLEN ANNE LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3723 E 39TH PL, TULSA, OK 74135-2411
(913) 563-9454
Mailing address
3723 E 39TH PL, TULSA, OK 74135-2411
(913) 563-9454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2021
Last updated
09/21/2023
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