Individual
MCKAILEY BRELYN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7159 KINGBIRD CT, OWASSO, OK 74055-6285
(918) 345-3188
Mailing address
7159 KINGBIRD CT, OWASSO, OK 74055-6285
(918) 345-3188
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
05/13/2026
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