Individual
KELSIE DAWN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SW PENN, BARTLESVILLE, OK 74003
(918) 770-5892
Mailing address
700 SW PENN, BARTLESVILLE, OK 74003
(918) 770-5892
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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