Individual
KAELYNN JUSTYNE LEMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, ATC, CEIS
Contact information
Practice address
11920 E APACHE ST, TULSA, OK 74116-1309
(253) 255-3115
Mailing address
11920 E APACHE ST, TULSA, OK 74116-1309
(253) 255-3115
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
783
OK
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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