Provider Demographics
NPI:1932459427
Name:DREIER, KAYE LYNN
Entity Type:Individual
Prefix:MS
First Name:KAYE
Middle Name:LYNN
Last Name:DREIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAYE
Other - Middle Name:LYNN
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10628 SW 34TH TER
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-3548
Mailing Address - Country:US
Mailing Address - Phone:405-640-1546
Mailing Address - Fax:405-686-5439
Practice Address - Street 1:10628 SW 34TH TER
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-3548
Practice Address - Country:US
Practice Address - Phone:405-640-1546
Practice Address - Fax:405-686-5439
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1932459427Medicaid