Provider Demographics
NPI:1992549562
Name:SCHIER, KAYLEN
Entity type:Individual
Prefix:
First Name:KAYLEN
Middle Name:
Last Name:SCHIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KAYLEN
Other - Middle Name:
Other - Last Name:LUGINBILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12003 COUNTY ROAD 3513 LOOP
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2330
Mailing Address - Country:US
Mailing Address - Phone:580-209-2123
Mailing Address - Fax:
Practice Address - Street 1:1419 N COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-1899
Practice Address - Country:US
Practice Address - Phone:580-332-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist