Provider Demographics
NPI:1275337800
Name:BARRIENTEZ, STANLEY KENT JR
Entity type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:KENT
Last Name:BARRIENTEZ
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 FALLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-8784
Mailing Address - Country:US
Mailing Address - Phone:405-967-9955
Mailing Address - Fax:
Practice Address - Street 1:3000 UNITED FOUNDERS BLVD STE 124
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4292
Practice Address - Country:US
Practice Address - Phone:405-646-0455
Practice Address - Fax:405-708-6172
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator