Individual
MRS. KELLY A BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 NORTH 31ST, CLINTON, OK 73601
(580) 331-8738
Mailing address
RR 2 BOX 4825, ELK CITY, OK 73644-9304
(580) 225-3115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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