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Organization
OUTSIDE THE BOX SPEECH SERVICES, LLC
Active
Organization
OUTSIDE THE BOX SPEECH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER N KEMP MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(405) 255-0642
Entity
Organization
Contact information
Practice address
19001 S 369TH WEST AVE, BRISTOW, OK 74010-2067
(405) 255-0642
Mailing address
19001 S 369TH WEST AVE, BRISTOW, OK 74010-2067
(405) 255-0642
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
3498
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200241250A
—
OK
Enumeration date
03/30/2016
Last updated
03/30/2016
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