Individual
KAYLEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5437
Mailing address
413 WOODHOLLOW TRL, EDMOND, OK 73012-4435
(405) 348-3951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0766R
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2022
Last updated
09/23/2024
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