Provider Demographics
NPI:1093274854
Name:CARTE, KAYLA (CO/LO)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:CARTE
Suffix:
Gender:F
Credentials:CO/LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 W MEMORIAL RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1761
Mailing Address - Country:US
Mailing Address - Phone:405-525-4000
Mailing Address - Fax:405-530-3670
Practice Address - Street 1:4207 W MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1761
Practice Address - Country:US
Practice Address - Phone:405-525-4000
Practice Address - Fax:405-530-3670
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLO69222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist