Individual
KAYLY ELIZABETH ROLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
150 DEER CREEK RD, EDMOND, OK 73012-9317
(405) 760-9686
Mailing address
150 DEER CREEK RD, EDMOND, OK 73012-9317
(405) 760-9686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2652
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100666260A
—
OK
01
—
736017987112
DEPT OF REHAB
OK
Enumeration date
10/25/2005
Last updated
07/16/2012
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