Wellformed AI

NPI 1679141303 · live from the CMS NPI Registry

Kayla Barry, PA

Physician Assistant in Moore, OK. National Provider Identifier 1679141303, active.

NPI record

NPI1679141303 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location750 Sw 19th St Ste A, Moore, OK 73160
Practice phone405-666-9860
Mailing address3001 Quail Springs Pkwy Fl 5, Oklahoma City, OK 73134
EnumeratedJune 17, 2021
Last updatedDecember 7, 2022
Sole proprietorYes
Other namesKayla Terrel

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X4651 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.