Provider Demographics
NPI:1952659054
Name:PRATHER, KARA LEE (BA)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:LEE
Last Name:PRATHER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S ORA ST
Mailing Address - Street 2:
Mailing Address - City:PRYOR
Mailing Address - State:OK
Mailing Address - Zip Code:74361-5806
Mailing Address - Country:US
Mailing Address - Phone:918-381-0922
Mailing Address - Fax:
Practice Address - Street 1:110 S ORA ST
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-5806
Practice Address - Country:US
Practice Address - Phone:918-381-0922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health