Individual
KAYLA PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 W GRAND, PONCA, OK 74601
(580) 762-1462
Mailing address
620 W GRAND AVE, PONCA CITY, OK 74601-5123
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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