NPI 1003626847

Kaylen Fonfara

Practitioner Peer Specialist Tulsa, OK

Practice location

Address: 1608 S Elwood Ave, Tulsa, OK 74119-4208
Phone: (918) 587-3888

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Oklahoma →

Registry record

NPI: 1003626847
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2025
Record last updated: 13 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.