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Contact Information

TABATHYA LANE APRN
9118 BUCKALOO BEND RD
KINGSTON, OK73439-2021
 Phone: 580-504-3090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for TABATHYA LANE APRN · (Female)

NPI # 1528896396
Status Active
Credentials
Entity Individual
Enumeration date 07/23/2024
Last updated 07/31/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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