Individual
MARY KATHERINE KELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 752-1200
Mailing address
5798 PRAIRIE VALLEY RD, ARDMORE, OK 73401-0605
(580) 222-8742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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