Individual
KYLEE JO SEVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 3RD AVE NW, MIAMI, OK 74354-5800
(918) 919-3143
Mailing address
1509 SKYLINE CT, MIAMI, OK 74354-3842
(918) 533-2696
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA394
OK
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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