IndividualActive
Kamron Fakhrshafaei
NPI 1053010488 · Case Manager/Care Coordinator · Thomas, OK
Provider details
- NPI number
- 1053010488
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
120 W. Broadway
Thomas, OK 73669
Phone: (580) 661-3488
Fax: (580) 661-3488
Approximate (ZIP-level) locationGet directions
Mailing address
11520 Cedar Valley Dr
Oklahoma City, OK 73170
Registry dates
- Enumerated
- 2023-02-24
- Last updated
- 2023-02-24
- Certified
- 2023-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.