Individual
KIMBERLY CRYSTAL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13000 N MAY AVE, OKLAHOMA CITY, OK 73120-0829
(405) 249-1780
Mailing address
8412 SW 47TH CIR, OKLAHOMA CITY, OK 73179-4610
(405) 249-1780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1694
OK
Other
Enumeration date
05/28/2022
Last updated
05/28/2022
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