Individual
KAELEE ALISE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S BOSTON AVE # 450-10, TULSA, OK 74103-4016
(918) 406-3420
Mailing address
5515 E 7TH ST, TULSA, OK 74112-2937
(918) 729-5933
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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