Provider Demographics
NPI:1902922834
Name:APPLE, STARLA KAY
Entity Type:Individual
Prefix:MRS
First Name:STARLA
Middle Name:KAY
Last Name:APPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:STARLA
Other - Middle Name:KAY
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:821 SE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-7216
Mailing Address - Country:US
Mailing Address - Phone:405-799-1124
Mailing Address - Fax:405-799-1124
Practice Address - Street 1:821 SE 10TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-7216
Practice Address - Country:US
Practice Address - Phone:405-799-1124
Practice Address - Fax:405-799-1124
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor