Individual
KYLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10608 N MILITARY AVE, OKLAHOMA CITY, OK 73114
(405) 837-7560
Mailing address
10608 N MILITARY AVE, OKLAHOMA CITY, OK 73114-5229
(405) 837-7650
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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