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Organization
KLM SPEECH LANGUAGE PATHOLOGY, LLC
Active
Organization
KLM SPEECH LANGUAGE PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA LYNN MOTLEY M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(405) 249-0334
Entity
Organization
Contact information
Practice address
4717 NW 155TH ST, EDMOND, OK 73013-9635
(405) 249-0334
Mailing address
4717 NW 155TH ST, EDMOND, OK 73013-9635
(405) 249-0334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3770
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295016640
—
OK
Enumeration date
12/17/2014
Last updated
12/17/2014
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