Provider Demographics
NPI:1134753833
Name:ENGLISH, KARLEY RIAN
Entity type:Individual
Prefix:
First Name:KARLEY
Middle Name:RIAN
Last Name:ENGLISH
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 1:1204 N MARKET AVE
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74801-4924
Mailing Address - Country:US
Mailing Address - Phone:405-496-1278
Mailing Address - Fax:
Practice Address - Street 1:1204 N MARKET AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-4924
Practice Address - Country:US
Practice Address - Phone:405-496-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator