Individual
MRS. KIM MARIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED CCC-SLP
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-5354
Mailing address
1841 S LIONS AVE, BROKEN ARROW, OK 74012-6614
(918) 697-6921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2806
OK
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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