Provider Demographics
NPI:1053658278
Name:ANDREWS, KRISTEN LYN
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LYN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20745 GARDENHIRE RD
Mailing Address - Street 2:
Mailing Address - City:HOWE
Mailing Address - State:OK
Mailing Address - Zip Code:74940-7023
Mailing Address - Country:US
Mailing Address - Phone:918-839-6078
Mailing Address - Fax:
Practice Address - Street 1:20745 GARDENHIRE RD
Practice Address - Street 2:
Practice Address - City:HOWE
Practice Address - State:OK
Practice Address - Zip Code:74940-7023
Practice Address - Country:US
Practice Address - Phone:918-839-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor