Individual
KEVONTE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 W 14TH ST, WEWOKA, OK 74884-3635
(405) 220-8492
Mailing address
118 W 14TH ST, WEWOKA, OK 74884-3635
(405) 220-8492
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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