Provider Demographics
NPI:1619337342
Name:KROSP, CINDY
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:
Last Name:KROSP
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 1:10724 S WINSTON WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-5214
Mailing Address - Country:US
Mailing Address - Phone:405-482-4498
Mailing Address - Fax:
Practice Address - Street 1:10724 S WINSTON WAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-5214
Practice Address - Country:US
Practice Address - Phone:405-482-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator