IndividualActive
Kayla Matherly, RDMS AB, OB/GYN
NPI 1053172163 · Diagnostic Ultrasound Physician · Yukon, OK
Provider details
- NPI number
- 1053172163
- Entity type
- Individual
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Credential
- RDMS AB, OB/GYN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 237570 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
873 S Mustang Rd
Yukon, OK 73099-6779
Phone: (405) 990-0631
Fax: (405) 251-8692
Approximate (ZIP-level) locationGet directions
Mailing address
873 S Mustang Rd
Yukon, OK 73099-6779
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.