Kysar, Katelin

Kysar, Katelin is an sole proprietor health care provider with primary practice located at 19629 Ne 23Rd St , Harrah OK 73045-9305. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kysar, Katelin can be contacted via phone (405) 454-0010.

Contact Information

Primary practice address
19629 Ne 23Rd St Harrah OK 73045-9305
Fax: (405) 454-0030
Website:

Health care specialties

Profile Details

NPI number 1902119811
LBN Legal business name Kysar, Katelin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2010
Last updated Apr 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902119811 NPPES
Oklahoma MEDICAID 200297560A

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