Individual provider · Type 1 NPI

Kellyn Lara

Case Manager/Care Coordinator · Tulsa, OK

NPI number 1306586672 Active

Practice location

2121 S 125th East Ave Ste 106
Tulsa, OK 74129-5800

Call (918) 574-8442 Map

Fax (619) 374-7134

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator Primary 171M00000XNone listed

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1306586672

Kellyn Lara's National Provider Identifier is 1306586672, issued on Apr 1, 2022. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 25, 2025.