Individual
KELSEY JEAN DUDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 NE 10TH ST # 4E, OKLAHOMA CITY, OK 73104-5417
(405) 271-3445
Mailing address
9513 STRATFORD DR, OKLAHOMA CITY, OK 73120-3532
(806) 223-3425
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4841
OK
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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