Provider Demographics
NPI:1184424848
Name:ALEXANDER, KAITLYN LEANN
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:LEANN
Last Name:ALEXANDER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14126 COUNTY ROAD 1573
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-1552
Mailing Address - Country:US
Mailing Address - Phone:405-402-6484
Mailing Address - Fax:
Practice Address - Street 1:14126 COUNTY ROAD 1573
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-1552
Practice Address - Country:US
Practice Address - Phone:405-402-6484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula