Individual
KELSEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 E 12TH PL, TULSA, OK 74104-4201
(918) 406-4657
Mailing address
2011 E 12TH PL, TULSA, OK 74104-4201
(918) 406-4657
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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