Provider Demographics
NPI:1316385016
Name:CLIFFORD A. KARY, PH.D. P.C.
Entity Type:Organization
Organization Name:CLIFFORD A. KARY, PH.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:KARY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:580-583-5034
Mailing Address - Street 1:PO BOX 2331
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73502-2331
Mailing Address - Country:US
Mailing Address - Phone:580-583-5034
Mailing Address - Fax:
Practice Address - Street 1:813 SW B AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-3954
Practice Address - Country:US
Practice Address - Phone:580-583-5034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1538114038OtherTRICARE
OK200212790AMedicaid