Individual
CALLIE JEANNE KINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(888) 423-6456
Mailing address
5016 NW 61ST ST, OKLAHOMA CITY, OK 73122-7409
(572) 568-9255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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