Provider Demographics
NPI:1669283065
Name:BARRETT, ALEXANDRIA KATE
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:KATE
Last Name:BARRETT
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:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:STRINGTOWN
Mailing Address - State:OK
Mailing Address - Zip Code:74569-0193
Mailing Address - Country:US
Mailing Address - Phone:580-889-0150
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 193
Practice Address - Street 2:
Practice Address - City:STRINGTOWN
Practice Address - State:OK
Practice Address - Zip Code:74569-0193
Practice Address - Country:US
Practice Address - Phone:580-889-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist