SearchOklahoma235Z00000X

Kaiden Fate, MS, CCC-SLP

NPI 1326614785 · on the registry since 2021

Practice

Address
4517 S Yellow Pine Ave
Broken Arrow, OK 74011
Phone
(918) 728-4121
Organisation at this address
Light Of Mine Pediatric And Adolescent Therapy Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Sex
Female
Record last updated
2024-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma