Provider Demographics
NPI:1457663874
Name:KYGAR, KRIS (BHRS)
Entity Type:Individual
Prefix:MR
First Name:KRIS
Middle Name:
Last Name:KYGAR
Suffix:
Gender:M
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-3809
Mailing Address - Country:US
Mailing Address - Phone:405-612-4879
Mailing Address - Fax:
Practice Address - Street 1:3910 W 6TH AVE STE 211
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-1745
Practice Address - Country:US
Practice Address - Phone:405-372-2913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor