Individual
KATELYN JYNX BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 N HARVARD AVE, TULSA, OK 74115-3140
(918) 240-6330
Mailing address
2450 N HARVARD AVE, TULSA, OK 74115-3140
(918) 240-6330
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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