Provider Demographics
NPI:1346705191
Name:SMITH, KARY ANN
Entity Type:Individual
Prefix:MS
First Name:KARY
Middle Name:ANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARY
Other - Middle Name:A
Other - Last Name:PISCHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1218 S QUAKER AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-5239
Mailing Address - Country:US
Mailing Address - Phone:918-519-6716
Mailing Address - Fax:
Practice Address - Street 1:5330 E 31ST ST STE 1000
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5010
Practice Address - Country:US
Practice Address - Phone:918-585-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist