Individual
DR. KELLY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9525 S 93RD EAST AVE, TULSA, OK 74133-6160
(918) 615-6970
Mailing address
9525 S 93RD EAST AVE, TULSA, OK 74133-6160
(918) 615-6970
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0343
OK
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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