Individual
KELLIE RENEE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(580) 225-5136
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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