Individual
JENNIFER LEE KYLLINGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
708 24TH AVE NW, SUITE 100, NORMAN, OK 73069-6232
(405) 321-5969
(405) 321-5967
Mailing address
700 NW 7TH ST, SUITE 304, OKLAHOMA CITY, OK 73102-1212
(405) 609-3675
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4711
OK
Other
Enumeration date
08/05/2013
Last updated
08/26/2013
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