Provider Demographics
NPI:1891575445
Name:REIN, KASEY ORALIA (NP)
Entity Type:Individual
Prefix:MISS
First Name:KASEY
Middle Name:ORALIA
Last Name:REIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8709 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73179-7968
Mailing Address - Country:US
Mailing Address - Phone:405-227-2578
Mailing Address - Fax:
Practice Address - Street 1:6440 AVONDALE DR STE 200-20
Practice Address - Street 2:
Practice Address - City:NICHOLS HILLS
Practice Address - State:OK
Practice Address - Zip Code:73116-6421
Practice Address - Country:US
Practice Address - Phone:405-763-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215090363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology