Individual
KELLY DAWN SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1764
Mailing address
2006 COUNTY ROAD 1210, TUTTLE, OK 73089-3102
(405) 858-1764
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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