Individual ProviderKaryn TaylorNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address13316 S Western Ave, Suite M, Moore, OK 73170-7302(405) 495-5154(405) 789-2111PECOS EnrollmentBased on the most recent information from CMS, provider Karyn Taylor is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1538139183Provider TypeIndividualFull NameTaylor, KarynCredentialARNPGenderFemaleSole ProprietorNoEnumeration Date1/25/2006Last Updated3/2/2011Contact InformationPractice LocationPractice Address13316 S Western Ave, Suite M, Moore, OK 73170-7302Phone(405) 495-5154Fax(405) 601-4888Mailing LocationMailing AddressPO Box 248804, Oklahoma City, OK 73124-8804Phone(405) 789-2111Fax(405) 789-2113Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR0071175OklahomaProvider IdentifiersIDDescriptionIssuerID200069680ADescriptionMedicaidIssuerUnlistedOklahoma