Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Lynn Lane

Individual provider Physician Assistant · NPI 1588209837

Kathryn Lynn Lane is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2019, 7 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2019
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Practice location Address checks out

5401 N Portland Ave Ste 600
Oklahoma City, OK 73112-2121
Phone: (405) 713-9940
Fax: (405) 713-9941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 737 Sw 157th St, Oklahoma City, OK 73170-7688 — (405) 314-6603

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3100 (OK)

Record details

NPI number1588209837
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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