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Individual

KAYLA PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
8501 NW MADISCHE RD, LAWTON, OK 73507-1221
(580) 492-3614
(580) 492-5029
Mailing address
PO BOX 908, LAWTON, OK 73502-0908
(580) 919-9030
(580) 492-5029

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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