Individual
KAYLYNN COATS ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1705 E 19TH ST, SUITE 302, TULSA, OK 74104-5405
(918) 748-7585
(918) 748-7539
Mailing address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5410
(918) 748-7585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1953
OK
Other
Enumeration date
01/17/2011
Last updated
02/19/2019
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