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Individual

KELSEY DANIELLE LANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
825 E OWEN K GARRIOTT RD, ENID, OK 73701-5928
(405) 844-4978
Mailing address
1205 CREEKDALE, ENID, OK 73703-2818
(580) 583-7505

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3058
OK

Other

Enumeration date
08/04/2019
Last updated
08/04/2019
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