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

Kaylen Fonfara

Individual provider Peer Specialist · NPI 1003626847

Kaylen Fonfara is a Peer Specialist in Tulsa, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1608 S Elwood Ave
Tulsa, OK 74119-4208
Phone: (918) 587-3888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1003626847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address1608 S Elwood Ave, Tulsa, OK 74119-4208

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